Capstone Healthcare,l.L.C
NPI 1639548621ActiveOrganization· Nurse Practitioner, Family· Daytona Beach, FL
Nurse Practitioner, Family in Daytona Beach, Florida, registered in NPPES in September 2015. The authorized official on file is Roshanda K. Ivey, Mgr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639548621 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2015 |
| Last updated in NPPES | Apr 16, 2025 |
| Certified by provider | Apr 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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