Minuteclinic Diagnostic of Virginia LLC
NPI 1417076829ActiveOrganization· Nurse Practitioner, Family· Leesburg, VA
Nurse Practitioner, Family in Leesburg, Virginia, registered in NPPES in March 2007. The authorized official on file is Deborah Jean Pincince, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1417076829 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2007 |
| Last updated in NPPES | Jun 24, 2024 |
| Certified by provider | Jun 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
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 (DC); Part B Supplier - Clinic/Group Practice (VA) |
|---|
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