Two Roads Wellness Clinic, LLC
NPI 1417329426ActiveOrganization· Nurse Practitioner, Primary Care· Danville, IL
Nurse Practitioner, Primary Care in Danville, Illinois, registered in NPPES in October 2015. The authorized official on file is Jessica Nemecz, LCPC, Counselor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417329426 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2015 |
| Last updated in NPPES | May 14, 2026 |
| Certified by provider | May 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Counselor | 101Y00000X | — | — |
| Community/Behavioral Health | 251S00000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
| Nurse Practitioner | 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 (IL) |
|---|
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