Breanna Libby Fnp-Bc
NPI 1497459069ActiveOrganization· Clinic/Center· Jonesport, ME
Clinic/Center in Jonesport, Maine, registered in NPPES in March 2023. The authorized official on file is Breanna Libby, FNP-BC, Owner/Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497459069 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2023 |
| Last updated in NPPES | Dec 4, 2023 |
| Certified by provider | Dec 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Clinic/Center, Infusion Therapy | 261QI0500X | — | — |
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 (ME) |
|---|