Shc Medical Partners of Mississippi, LLC
NPI 1720837396ActiveOrganization· Nurse Practitioner· Ridgeland, MS
Nurse Practitioner in Ridgeland, Mississippi, registered in NPPES in May 2024. The authorized official on file is Sarah Altstadt, Provider Enrollment Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720837396 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2024 |
| Last updated in NPPES | Oct 24, 2024 |
| Certified by provider | Oct 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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 (MS) |
|---|
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