Wickford Family Practice LLC
NPI 1710698667ActiveOrganization· Nurse Practitioner, Family· North Kingstown, RI
Nurse Practitioner, Family in North Kingstown, Rhode Island, registered in NPPES in December 2022. The authorized official on file is Maxwell Hogue, NURSE PRACTITIONER, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710698667 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2022 |
| Last updated in NPPES | Feb 1, 2023 |
| Certified by provider | Feb 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| 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 (RI) |
|---|
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