Ortho Express Holding Company, LLC
NPI 1720506264ActiveOrganization· Nurse Practitioner· Tupelo, MS
Nurse Practitioner in Tupelo, Mississippi, registered in NPPES in September 2017, part of Orthoxpress Holdings, LLC. The authorized official on file is Jennifer C. Bullock, President. Enrolled in Medicare as dme supplier - nurse practitioner.
Overview
| NPI | 1720506264 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Orthoxpress Holdings, LLC |
| NPI issued | Sep 5, 2017 |
| Last updated in NPPES | Feb 17, 2026 |
| Certified by provider | Feb 17, 2026 |
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) | Enrolled DME Supplier - Nurse Practitioner (MS) |
|---|
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