Desert Diabetes LLC
NPI 1881552933ActiveOrganization· Nurse Practitioner· St George, UT
Nurse Practitioner in St George, Utah, registered in NPPES in January 2026. The authorized official on file is Brecken Moore, FNP-C, Ceo/Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1881552933 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2026 |
| Last updated in NPPES | Jan 15, 2026 |
| Certified by provider | Jan 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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 (UT) |
|---|
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