Boldage Pace Indiana LLC
NPI 1407543960ActiveOrganization· PACE Provider Organization· Evansville, IN
PACE Provider Organization in Evansville, Indiana, registered in NPPES in April 2023. The authorized official on file is Micheal Y. Czermak, Cao.
Overview
| NPI | 1407543960 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2023 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | Nov 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | — | — |
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 |
|---|