Addiction Wellness Center in LLC
NPI 1740197136ActiveOrganization· Physician Assistant· Jeffersonville, IN
Physician Assistant in Jeffersonville, Indiana, registered in NPPES in August 2026, part of Addiction Wellness Center in LLC. The authorized official on file is Jessie Costley, Credentialing Manager.
Overview
| NPI | 1740197136 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Addiction Wellness Center in LLC |
| NPI issued | Aug 24, 2026 |
| Last updated in NPPES | Aug 24, 2026 |
| Certified by provider | Aug 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Nurse Practitioner | 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 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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