Eminence Medical Clinic PLLC
NPI 1316653579ActiveOrganization· Nurse Practitioner, Family· Mesa, AZ
Nurse Practitioner, Family in Mesa, Arizona, registered in NPPES in January 2023. The authorized official on file is Leah Echiverri, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316653579 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2023 |
| Last updated in NPPES | May 25, 2024 |
| Certified by provider | May 25, 2024 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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