Privia Medical Group Washington, PLLC
NPI 1467715847ActiveOrganization· Nurse Practitioner, Family· Walla Walla, WA
Nurse Practitioner, Family in Walla Walla, Washington, registered in NPPES in June 2012. The authorized official on file is Kevin J. Michelson, Ceo.
Overview
| NPI | 1467715847 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2012 |
| Last updated in NPPES | Oct 6, 2023 |
| Certified by provider | Oct 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP60297383 | WA |
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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