Johnetta Mathis, REGISTERED NURSE
NPI 1619564531ActiveIndividual· Licensed Practical Nurse· Eastpointe, MI
Licensed Practical Nurse (REGISTERED NURSE) in Eastpointe, Michigan, licensed in MI, with an NPI issued in December 2020.
Overview
| NPI | 1619564531 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | REGISTERED NURSE |
| Sole proprietor | No |
| NPI issued | Dec 26, 2020 |
| Last updated in NPPES | Jul 15, 2025 |
| Certified by provider | Jul 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 4703121100 | MI |
| Registered Nurse | 163W00000X | 4704427375 | MI |
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 34 licensed practical nurses in Eastpointe · All licensed practical nurses in Michigan