Ortho Express Holding Company, LLC
NPI 1578189973ActiveOrganization· Nurse Practitioner· Amory, MS
Nurse Practitioner in Amory, Mississippi, registered in NPPES in June 2020, part of Ortho Express Holding Company, LLC. The authorized official on file is Jennifer C. Bullock, President. Enrolled in Medicare as dme supplier - nurse practitioner.
Overview
| NPI | 1578189973 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ortho Express Holding Company, LLC |
| NPI issued | Jun 22, 2020 |
| Last updated in NPPES | Oct 21, 2026 |
| Certified by provider | Oct 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
| Physician Assistant | 363A00000X | — | — |
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 DME Supplier - Nurse Practitioner (MS) |
|---|
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