Ortho Express Holding Company LLC
NPI 1710545439ActiveOrganization· Nurse Practitioner· Starkville, MS
Nurse Practitioner in Starkville, Mississippi, registered in NPPES in May 2019, part of Ortho Express Holding Company LLC. The authorized official on file is Jennifer C. Bullock, President.
Overview
| NPI | 1710545439 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ortho Express Holding Company LLC |
| NPI issued | May 29, 2019 |
| Last updated in NPPES | Sep 10, 2025 |
| Certified by provider | Sep 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
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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