Integrated Medical Services LLC
NPI 1588158752ActiveOrganization· Nurse Practitioner, Primary Care· San Antonio, TX
Nurse Practitioner, Primary Care in San Antonio, Texas, registered in NPPES in June 2018. The authorized official on file is Charlotte Ballard, ENP-BC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588158752 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2018 |
| Last updated in NPPES | Apr 1, 2024 |
| Certified by provider | Apr 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | AP107832 | TX |
| Family Medicine | 207Q00000X | L1817 | TX |
| Nurse Practitioner, Family | 363LF0000X | AP107832 | TX |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | AP107832 | TX |
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 Part B Supplier - Clinic/Group Practice (TX) |
|---|
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