Advantage Primary Health LLC
NPI 1477496032ActiveOrganization· Nurse Practitioner, Family· Prescott Valley, AZ
Nurse Practitioner, Family in Prescott Valley, Arizona, registered in NPPES in April 2026. The authorized official on file is Desiree Pene, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477496032 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2026 |
| Last updated in NPPES | Oct 15, 2026 |
| Certified by provider | Oct 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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