Carrico Congleton Family Practice, LLC
NPI 1750665162ActiveOrganization· Nurse Practitioner· Owensboro, KY
Nurse Practitioner in Owensboro, Kentucky, registered in NPPES in October 2011. The authorized official on file is Judy A. Carrico, APRN, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750665162 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2011 |
| Last updated in NPPES | Feb 21, 2019 |
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 (KY) |
|---|
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