Well Spring Health LLC
NPI 1417581315ActiveOrganization· Nurse Practitioner, Gerontology· Medford, OR
Nurse Practitioner, Gerontology in Medford, Oregon, registered in NPPES in February 2020. The authorized official on file is Shirley Hanley, NP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417581315 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2020 |
| Last updated in NPPES | May 2, 2023 |
| Certified by provider | May 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | — | — |
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 (OR) |
|---|
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