Prestige Medresource LLC
NPI 1679351647ActiveOrganization· Nurse Practitioner, Family· Clermont, FL
Nurse Practitioner, Family in Clermont, Florida, registered in NPPES in September 2023. The authorized official on file is Donna Jackson Sharpe, CEO, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679351647 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2023 |
| Last updated in NPPES | Mar 30, 2026 |
| Certified by provider | Mar 30, 2026 |
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 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 (FL) |
|---|
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