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NPI 1376433490ActiveIndividual· Nurse Practitioner, Family· Plainville, MA
Nurse Practitioner, Family with Southcoast Physicians Group Inc and 1 other group, practicing in Plainville, Massachusetts. Enrolled in Medicare as practitioner - nurse practitioner. Lists Southcoast Hospitals Group as a hospital affiliation.
Overview
| NPI | 1376433490 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 9, 2025 |
| Last updated in NPPES | Jul 9, 2025 |
| Certified by provider | Jul 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN2319538 | MA |
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 Practitioner - Nurse Practitioner (MA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Southcoast Physicians Group IncNew Bedford, MA · 881 clinicians
- Convenientmd - Ffs Uc LLCStratham, NH · 392 clinicians
Hospital affiliation
- Southcoast Hospitals GroupFall River, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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