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NPI 1639038029ActiveIndividual· Nurse Practitioner· Webster, NY

Nurse Practitioner in Webster, New York, licensed in TX, with an NPI issued in January 2026.

Overview

NPI1639038029
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJan 20, 2026
Last updated in NPPESJan 20, 2026
Certified by providerJan 20, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X1134368TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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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