Promedica Central Physicians LLC
NPI 1588091292ActiveOrganization· Nurse Practitioner· Perrysburg, OH
Nurse Practitioner in Perrysburg, Ohio, registered in NPPES in September 2013. The authorized official on file is Kristin Knueven, Credentialing Coordinator.
Overview
| NPI | 1588091292 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2013 |
| Last updated in NPPES | Sep 27, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | OH |
| Family Medicine | 207Q00000X | — | OH |
| Nurse Practitioner, Family | 363LF0000X | — | OH |
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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