Body Renaissance LLC
NPI 1417828971ActiveOrganization· Nurse Practitioner, Family· Payson, UT
Nurse Practitioner, Family in Payson, Utah, registered in NPPES in September 2025. The authorized official on file is Karl F. Stemmler, MPA, Credentialing Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417828971 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2025 |
| Last updated in NPPES | Oct 13, 2025 |
| Certified by provider | Oct 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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