Providence-Providence Park Hospital
NPI 1780649822ActiveOrganization· Registered Nurse· Southfield, MI
Registered Nurse in Southfield, Michigan, registered in NPPES in April 2006. The authorized official on file is Jennifer Johnson, Director, Central Billing Office.
Overview
| NPI | 1780649822 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2006 |
| Last updated in NPPES | Aug 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X | — | — |
| Registered Nurse, Critical Care Medicine | 163WC0200X | — | — |
| Registered Nurse, Hospice | 163WH1000X | — | — |
| Registered Nurse, Maternal Newborn | 163WM0102X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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