Nully Medical LLC
NPI 1639828569ActiveOrganization· Nurse Practitioner, Family· Providence, RI
Nurse Practitioner, Family in Providence, Rhode Island, registered in NPPES in March 2022. The authorized official on file is Abiola Akinboboye, NP, Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1639828569 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2022 |
| Last updated in NPPES | Dec 16, 2022 |
| Certified by provider | Dec 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinic/Center, Health Services | 261QH0100X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (RI) |
|---|
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