Westside Family Clinic LLC
NPI 1801587779ActiveOrganization· Nurse Practitioner, Family· Russellville, AR
Nurse Practitioner, Family in Russellville, Arkansas, registered in NPPES in May 2023. The authorized official on file is Jeffrey Bosold, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801587779 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2023 |
| Last updated in NPPES | May 19, 2023 |
| Certified by provider | May 19, 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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