Cockerell & McIntosh Pediatrics, PC
NPI 1629517107ActiveOrganization· Nurse Practitioner, Pediatrics· Blue Springs, MO
Nurse Practitioner, Pediatrics in Blue Springs, Missouri, registered in NPPES in February 2017. The authorized official on file is Bryan E. Wood, Practice Administrator.
Overview
| NPI | 1629517107 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2017 |
| Last updated in NPPES | Feb 17, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 2016036885 | MO |
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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