Vitality Family Healthcare, LLC
NPI 1851097406ActiveOrganization· Family Medicine· Grand Island, NE
Family Medicine in Grand Island, Nebraska, registered in NPPES in February 2023. The authorized official on file is Jacob Christopher Peterson, MD, Ceo, Physician.
Overview
| NPI | 1851097406 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2023 |
| Last updated in NPPES | Feb 6, 2023 |
| Certified by provider | Feb 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Family Medicine, Bariatric Medicine | 207QB0002X | — | — |
| Clinic/Center, Ambulatory Surgical | 261QA1903X | — | — |
| Pharmacy, Clinic Pharmacy | 3336C0002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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