A Mobile Healthcare LLC
NPI 1417475013ActiveOrganization· Nurse Practitioner· Holmes Beach, FL
Nurse Practitioner in Holmes Beach, Florida, registered in NPPES in September 2017. The authorized official on file is Andrea Nicholas, ARNP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417475013 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 3, 2017 |
| Last updated in NPPES | Nov 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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 (FL) |
|---|
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