At Peace Wellness LLC
NPI 1407437692ActiveOrganization· Nurse Practitioner· Willow Grove, PA
Nurse Practitioner in Willow Grove, Pennsylvania, registered in NPPES in April 2021. The authorized official on file is Ebony Chatmon, NURSE PRACTITIONER, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1407437692 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2021 |
| Last updated in NPPES | Jan 31, 2025 |
| Certified by provider | Jan 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (PA) |
|---|
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