Well Infused, LLC
NPI 1477204550ActiveOrganization· Nurse Practitioner· Noblesville, IN
Nurse Practitioner in Noblesville, Indiana, registered in NPPES in January 2022, part of Legacy Impact Holdings, LLC. The authorized official on file is Staci J. Blume, DC, Owner / Partner.
Overview
| NPI | 1477204550 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Legacy Impact Holdings, LLC |
| NPI issued | Jan 11, 2022 |
| Last updated in NPPES | Oct 17, 2022 |
| Certified by provider | Oct 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Clinic/Center, Health Services | 261QH0100X | — | — |
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 |
|---|
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