Diagnostic Clinic Medical Group Inc
NPI 1356939284ActiveOrganization· Nurse Practitioner, Family· Saint Petersburg, FL
Nurse Practitioner, Family in Saint Petersburg, Florida, registered in NPPES in January 2021. The authorized official on file is Gina Marie Prebeck, Vp Of Operations.
Overview
| NPI | 1356939284 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2021 |
| Last updated in NPPES | Jan 6, 2021 |
| Certified by provider | Jan 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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