Sulis Mind and Body LLC
NPI 1528762390ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Coos Bay, OR
Nurse Practitioner, Psych/Mental Health in Coos Bay, Oregon, registered in NPPES in March 2023. The authorized official on file is Jamie Mayo, Pmhnp. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528762390 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2023 |
| Last updated in NPPES | Sep 7, 2023 |
| Certified by provider | Sep 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | — | — |
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 (OR) |
|---|
Other Nurse Practitioner, Psych/Mental Health providers in Coos Bay
- 1619421583
- 1265370092
- 1417785569
- 1083321400
- 1629392287
- 1447871678
- 1558120428
- 1619673704
- 1619737210
- 1174190946
- 1619713039
- 1447928494
All Nurse Practitioner, Psych/Mental Health providers in Oregon →