Aceso Medical Clinic LLC
NPI 1790499663ActiveOrganization· Nurse Practitioner, Family· Coos Bay, OR
Nurse Practitioner, Family in Coos Bay, Oregon, registered in NPPES in January 2023. The authorized official on file is Shirley Reynolds, FNP, Family Nurse Practitioner.
Overview
| NPI | 1790499663 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2023 |
| Last updated in NPPES | Jan 5, 2023 |
| Certified by provider | Jan 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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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