NP Primary Care Clinical Services
NPI 1629522404ActiveOrganization· Nurse Practitioner· Bowling Green, KY
Nurse Practitioner in Bowling Green, Kentucky, registered in NPPES in August 2016. The authorized official on file is Jason T. Shuffitt, DNP, APRN, President & Ceo.
Overview
| NPI | 1629522404 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 9, 2016 |
| Last updated in NPPES | Aug 9, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 3005814 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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