Surgery Center of Fremont LLC
NPI 1770812679ActiveOrganization· Nurse Anesthetist, Certified Registered· Fremont, NE
Nurse Anesthetist, Certified Registered in Fremont, Nebraska, registered in NPPES in December 2009. The authorized official on file is Jennifer Boyd Baldock, Officer And Authorized Official.
Overview
| NPI | 1770812679 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 24, 2009 |
| Last updated in NPPES | Oct 28, 2022 |
| Certified by provider | Oct 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
| Anesthesiology | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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