Carri Rose Prom, NP
NPI 1477050672ActiveIndividual· Nurse Practitioner· Beverly Hills, CA
Nurse Practitioner (NP) in Beverly Hills, California, licensed in CA and WI, with an NPI issued in April 2018.
Overview
| NPI | 1477050672 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Apr 12, 2018 |
| Last updated in NPPES | Mar 26, 2020 |
| Certified by provider | Mar 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95009386 | CA |
| Registered Nurse, Emergency | 163WE0003X | 196026-30 | WI |
| Registered Nurse, General Practice | 163WG0000X | 849992 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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