Vivid Aesthetics & Wellness PLLC
NPI 1861260671ActiveOrganization· Family Medicine· Cromwell, CT
Family Medicine in Cromwell, Connecticut, registered in NPPES in December 2023. The authorized official on file is Selma Costa Rosa, APRN, Nurse Practioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861260671 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2023 |
| Last updated in NPPES | Dec 6, 2024 |
| Certified by provider | Dec 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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