Providence Medical LLC
NPI 1831056191ActiveOrganization· Nurse Practitioner, Family· Fredericksburg, VA
Nurse Practitioner, Family in Fredericksburg, Virginia, registered in NPPES in January 2026. The authorized official on file is Matthew Daugherty, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1831056191 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2026 |
| Last updated in NPPES | Jan 14, 2026 |
| Certified by provider | Jan 14, 2026 |
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 (VA) |
|---|
Other Nurse Practitioner, Family providers in Fredericksburg
- 1780558270
- 1104170398
- 1760116156
- 1902644073
- 1932330339
- 1356211759
- 1881471555
- 1881200640
- 1497665137
- 1568396737
- 1447238589
- 1053176487