Nicole Innace
NPI 1578974630ActiveIndividual· Specialist· Holbrook, NY
Specialist in Holbrook, New York, licensed in NY, with an NPI issued in May 2014.
Overview
| NPI | 1578974630 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 12, 2014 |
| Last updated in NPPES | Apr 10, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 353185091 | NY |
| Specialist | 174400000X | 415945101 | NY |
| Specialist | 174400000X | 800217131 | NY |
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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All 49 Specialist providers in Holbrook · All Specialist providers in New York