Nino Kavtaradze, CRNP
NPI 1639574841ActiveIndividual· Nurse Practitioner· Feasterville Trevose, PA
Nurse Practitioner (CRNP) in Feasterville Trevose, Pennsylvania, licensed in PA, with an NPI issued in October 2014. Enrolled in Medicare as practitioner - nurse practitioner. Exeltis, USA Inc. reported $13.13 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1639574841 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | No |
| NPI issued | Oct 30, 2014 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Jan 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | SP015632 | PA |
| Registered Nurse | 163W00000X | RN632493 | PA |
| Nurse Practitioner, Family | 363LF0000X | SP015632 | PA |
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) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|
Industry payments (Open Payments)
- 2024$13.13 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Exeltis, USA Inc. | $13.13 | 1 |
What the 2024 payments were for
- Food and Beverage$13.13 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other nurse practitioners in Feasterville Trevose
- 1376182725
- 1588170146
- 1477202026