Balanced Wellness LLC
NPI 1790433456ActiveOrganization· Nurse Practitioner, Primary Care· Tulsa, OK
Nurse Practitioner, Primary Care in Tulsa, Oklahoma, registered in NPPES in March 2022. The authorized official on file is Jessica Ann Brewer, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790433456 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2022 |
| Last updated in NPPES | Jul 13, 2025 |
| Certified by provider | Jul 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Case Manager/Care Coordinator | 171M00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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