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Lifebridge Metropolitan Physician Group II, LLC

NPI 1457818338ActiveOrganization· Nurse Practitioner· Baltimore, MD

Nurse Practitioner in Baltimore, Maryland, registered in NPPES in February 2019. The authorized official on file is Mary Wright-Sisk, Director Of Physician Enterprise.

Overview

NPI1457818338
StatusActive
Entity typeOrganization
NPI issuedFeb 27, 2019
Last updated in NPPESAug 31, 2021
Certified by providerAug 31, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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