Divinity Healthcare Services
NPI 1518719483ActiveOrganization· Nurse Practitioner, Family· Homer, LA
Nurse Practitioner, Family in Homer, Louisiana, registered in NPPES in April 2024, part of -. The authorized official on file is Ekara Wafer-Mendenhall, Ceo/ Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518719483 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | - |
| NPI issued | Apr 3, 2024 |
| Last updated in NPPES | Dec 26, 2024 |
| Certified by provider | Dec 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
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 (LA) |
|---|
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