Dan Nurse Practitioner Services, LLC
NPI 1477858801ActiveOrganization· Nurse Practitioner, Primary Care· Payson, AZ
Nurse Practitioner, Primary Care in Payson, Arizona, registered in NPPES in January 2011. The authorized official on file is Deborah Ann Nichols, FNP, Principal Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477858801 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2011 |
| Last updated in NPPES | Feb 4, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | AP1489 | AZ |
| Clinic/Center, Primary Care | 261QP2300X | AP1489 | AZ |
| Assisted Living Facility | 310400000X | AP1489 | AZ |
| Skilled Nursing Facility | 314000000X | AP1489 | AZ |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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