Innovative Healthcare Management LLC
NPI 1861622722ActiveOrganization· Nurse Practitioner, Family· McComb, MS
Nurse Practitioner, Family in McComb, Mississippi, registered in NPPES in July 2009. The authorized official on file is Katrina Maria Dryer, CFNP, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1861622722 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2009 |
| Last updated in NPPES | Aug 13, 2024 |
| Certified by provider | Aug 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (MS) |
|---|
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