Ivy Health Primary Care PLLC
NPI 1679214126ActiveOrganization· Nurse Practitioner, Family· Bullhead City, AZ
Nurse Practitioner, Family in Bullhead City, Arizona, registered in NPPES in April 2022. The authorized official on file is Sandra Reyes Mendoza, FNP-C, Nurse Practitioner.
Overview
| NPI | 1679214126 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2022 |
| Last updated in NPPES | Oct 3, 2023 |
| Certified by provider | Oct 3, 2023 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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