Aquarius Medical & Wellness Clinic, LLC
NPI 1689472904ActiveOrganization· Nurse Practitioner, Primary Care· Santa Fe, NM
Nurse Practitioner, Primary Care in Santa Fe, New Mexico, registered in NPPES in March 2025. The authorized official on file is Elizabeth Olis, CNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689472904 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2025 |
| Last updated in NPPES | Jul 21, 2025 |
| Certified by provider | Jul 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
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 (NM) |
|---|
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