Rodaphne Advanced Healthcare Provider, LLC
NPI 1417870783ActiveOrganization· Nurse Practitioner· Port Saint Lucie, FL
Nurse Practitioner in Port Saint Lucie, Florida, registered in NPPES in August 2026. The authorized official on file is Kettelene Philogene McMorris, DNP, FNP, PMHNP, Owner/Nurse Practitioner.
Overview
| NPI | 1417870783 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 3, 2026 |
| Last updated in NPPES | Aug 3, 2026 |
| Certified by provider | Jul 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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