Kpnp
NPI 1356992853ActiveOrganization· Nurse Practitioner, Family· Mechanicsville, VA
Nurse Practitioner, Family in Mechanicsville, Virginia, registered in NPPES in September 2019. The authorized official on file is Kathleen M. Pack, NP, Authorized Official/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356992853 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2019 |
| Last updated in NPPES | Sep 25, 2019 |
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 (VA) |
|---|
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