Across the Lifespan
NPI 1558759712ActiveOrganization· Nurse Practitioner, Family· Yanceyville, NC
Nurse Practitioner, Family in Yanceyville, North Carolina, registered in NPPES in December 2014. The authorized official on file is Tanillya Wilkerson Partridge, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558759712 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 22, 2014 |
| Last updated in NPPES | Jun 30, 2022 |
| Certified by provider | Jun 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 5006150 | NC |
| Community/Behavioral Health | 251S00000X | — | — |
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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