Wsu Physician Group
NPI 1639466055ActiveOrganization· Nurse Practitioner, Adult Health· Detroit, MI
Nurse Practitioner, Adult Health in Detroit, Michigan, registered in NPPES in July 2011. The authorized official on file is Stephanie Wright, Manager Human Resources.
Overview
| NPI | 1639466055 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2011 |
| Last updated in NPPES | Jul 6, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 4704217349 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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