Proactive Clinical Partners
NPI 1366934242ActiveOrganization· Nurse Practitioner, Gerontology· Indianapolis, IN
Nurse Practitioner, Gerontology in Indianapolis, Indiana, registered in NPPES in June 2018. The authorized official on file is Hector Vazquez, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366934242 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 5, 2018 |
| Last updated in NPPES | May 14, 2026 |
| Certified by provider | May 14, 2026 |
| Reactivated | Dec 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | — | — |
| Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | — | — |
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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