Mod-Doc Inc
NPI 1801627096ActiveOrganization· Nurse Practitioner, Primary Care· Kaysville, UT
Nurse Practitioner, Primary Care in Kaysville, Utah, registered in NPPES in August 2024. The authorized official on file is Jeff Midgley, Owner / President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801627096 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 9, 2024 |
| Last updated in NPPES | Apr 27, 2026 |
| Certified by provider | Apr 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
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 (UT) |
|---|
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