Odyssey Enterprises LLC
NPI 1699514711ActiveOrganization· Nurse Practitioner· Bloomington, IN
Nurse Practitioner in Bloomington, Indiana, registered in NPPES in May 2024. The authorized official on file is James Penticuff, Managing Member.
Overview
| NPI | 1699514711 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 20, 2024 |
| Last updated in NPPES | Jul 14, 2026 |
| Certified by provider | Jul 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Family Medicine, Adult Medicine | 207QA0505X | — | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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