Plaza Park Family Practice LLC
NPI 1336574490ActiveOrganization· Family Medicine· Newburgh, IN
Family Medicine in Newburgh, Indiana, registered in NPPES in September 2013. The authorized official on file is Carleen M. Rubel, NP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336574490 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 9, 2013 |
| Last updated in NPPES | Feb 27, 2024 |
| Certified by provider | Feb 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 01036788A | IN |
| Nurse Practitioner | 363L00000X | — | IN |
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 (IN) |
|---|
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