American Advanced Practice Network, P.C.
NPI 1790244341ActiveOrganization· Nurse Practitioner· Watertown, SD
Nurse Practitioner in Watertown, South Dakota, registered in NPPES in March 2019. The authorized official on file is Allen Ewalt, Operations Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1790244341 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2019 |
| Last updated in NPPES | Nov 11, 2022 |
| Certified by provider | Nov 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
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 (AL); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA) |
|---|
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