Ageless Rewind LLC
NPI 1851126932ActiveOrganization· Nurse Practitioner, Primary Care· Holiday, FL
Nurse Practitioner, Primary Care in Holiday, Florida, registered in NPPES in September 2024. The authorized official on file is Kelli Wrazien, AGNP, Owner/Ceo.
Overview
| NPI | 1851126932 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2024 |
| Last updated in NPPES | Mar 13, 2025 |
| Certified by provider | Mar 13, 2025 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other primary care nurse practitioners in Holiday
- 1558116806