Sentinel Medical Group PLLC
NPI 1689989238ActiveOrganization· Physician Assistant, Medical· Midland, TX
Physician Assistant, Medical in Midland, Texas, registered in NPPES in August 2010. The authorized official on file is Jack Kim Willis, P.A, Managing Member.
Overview
| NPI | 1689989238 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 6, 2010 |
| Last updated in NPPES | Sep 28, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA05950 | TX |
| Internal Medicine | 207R00000X | E7559 | TX |
| Physician Assistant, Medical | 363AM0700X | PA03268 | TX |
| Nurse Practitioner, Family | 363LF0000X | 623501 | TX |
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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