Fortieth & Vineyard Company LLC
NPI 1851071898ActiveOrganization· Specialist, Prosthetics Case Management· Chesterfield, MO
Specialist, Prosthetics Case Management in Chesterfield, Missouri, registered in NPPES in July 2023. The authorized official on file is Stacey Yvonne Pegues, SPECIALIST, Cranial Prosthesis Specialists.
Overview
| NPI | 1851071898 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2023 |
| Last updated in NPPES | Jul 24, 2023 |
| Certified by provider | Jul 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist, Prosthetics Case Management Primary | 1744P3200X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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