Crystal River Hma Physician Management LLC
NPI 1447799945ActiveOrganization· Family Medicine· Crystal River, FL
Family Medicine in Crystal River, Florida, registered in NPPES in February 2017. The authorized official on file is Jennifer L. Jackson, Sr Dir Onboarding & Prov Enrollment.
Overview
| NPI | 1447799945 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 16, 2017 |
| Last updated in NPPES | Mar 14, 2022 |
| Certified by provider | Feb 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
| General Practice | 208D00000X | — | — |
| Nurse Practitioner, Family | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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