Privia Medical Group Indiana, LLC
NPI 1568147809ActiveOrganization· Nurse Practitioner, Family· Wakarusa, IN
Nurse Practitioner, Family in Wakarusa, Indiana, registered in NPPES in June 2023, part of Elkhart Clinic, LLC. The authorized official on file is Megan Leigh Carlson, Provider Enrollment.
Overview
| NPI | 1568147809 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Elkhart Clinic, LLC |
| NPI issued | Jun 15, 2023 |
| Last updated in NPPES | May 12, 2025 |
| Certified by provider | May 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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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