Ivan Corredera LLC
NPI 1811700321ActiveOrganization· Nurse Practitioner, Family· West Palm Beach, FL
Nurse Practitioner, Family in West Palm Beach, Florida, registered in NPPES in January 2025. The authorized official on file is Ivan Corredera, NP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811700321 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2025 |
| Last updated in NPPES | Feb 13, 2025 |
| Certified by provider | Feb 13, 2025 |
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 (FL) |
|---|
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