Crestone Inpatient Services LLC
NPI 1558770750ActiveOrganization· Internal Medicine· Lake City, FL
Internal Medicine in Lake City, Florida, registered in NPPES in August 2014. The authorized official on file is Kathleen Kondas, Officer.
Overview
| NPI | 1558770750 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2014 |
| Last updated in NPPES | Dec 21, 2020 |
| Certified by provider | Dec 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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