Bluegrass Internal Medicine PLLC
NPI 1619973682ActiveOrganization· Internal Medicine· Owensboro, KY
Internal Medicine in Owensboro, Kentucky, registered in NPPES in June 2005. The authorized official on file is Angela Louise Jarvis, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619973682 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2005 |
| Last updated in NPPES | Mar 24, 2021 |
| Certified by provider | Mar 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (KY) |
|---|
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