Oliver Louis De Gravelle III, APRN
NPI 1598964629ActiveIndividual· Nurse Practitioner, Neonatal· Raleigh, NC
Nurse Practitioner, Neonatal (APRN) in Raleigh, North Carolina, licensed in NC and LA, with an NPI issued in July 2007. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1598964629 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jul 18, 2007 |
| Last updated in NPPES | Jun 2, 2022 |
| Certified by provider | Jun 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Neonatal Primary | 363LN0000X | 5015451 | NC |
| Nurse Practitioner | 363L00000X | 02915 | LA |
| Nurse Practitioner, Neonatal | 363LN0000X | AP02915 | LA |
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) | Enrolled Practitioner - Nurse Practitioner (NC) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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