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Renuva Health LLC

NPI 1801155486ActiveOrganization· Nurse Practitioner· Overland Park, KS

Nurse Practitioner in Overland Park, Kansas, registered in NPPES in May 2012. The authorized official on file is Michael Green, D.C., Associate D.C. Enrolled in Medicare as dme supplier - nurse practitioner and part b supplier - clinic/group practice.

Overview

NPI1801155486
StatusActive
Entity typeOrganization
NPI issuedMay 16, 2012
Last updated in NPPESDec 12, 2023
Certified by providerDec 12, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X——
Chiropractor111N00000X——
Clinic/Center261Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Nurse Practitioner (KS); Part B Supplier - Clinic/Group Practice (KS)

Medicare sources and data years

Other Nurse Practitioner providers in Overland Park

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