Mt Zion Medical and Nursing Services, PA
NPI 1316160641ActiveOrganization· Nurse Practitioner, Family· Matthews, NC
Nurse Practitioner, Family in Matthews, North Carolina, registered in NPPES in April 2007. The authorized official on file is Collins F. Fomunung, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316160641 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2007 |
| Last updated in NPPES | Sep 15, 2025 |
| Certified by provider | Sep 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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