Odin Healthcare PLLC
NPI 1538805239ActiveOrganization· Nurse Practitioner, Family· Dallas, NC
Nurse Practitioner, Family in Dallas, North Carolina, registered in NPPES in May 2022. The authorized official on file is Crystal Martinez, NP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538805239 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 6, 2022 |
| Last updated in NPPES | Jun 15, 2022 |
| Certified by provider | Jun 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
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 (NC) |
|---|
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