Integrated Healthcare Associates LLC
NPI 1407399090ActiveOrganization· Nurse Practitioner, Family· Athens, OH
Nurse Practitioner, Family in Athens, Ohio, registered in NPPES in November 2016, part of Integrated Services for Behavioral Health. The authorized official on file is Jaclyn M. Wilson, Project Manager - Billing.
Overview
| NPI | 1407399090 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Integrated Services for Behavioral Health |
| NPI issued | Nov 30, 2016 |
| Last updated in NPPES | Nov 30, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APRN.CNP.019584 | OH |
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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