Evernorth Care Providers - Arizona PC
NPI 1891565123ActiveOrganization· General Practice· Henderson, NV
General Practice in Henderson, Nevada, registered in NPPES in January 2024. The authorized official on file is Grace Blue, Credentialing Sr. Manager.
Overview
| NPI | 1891565123 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2024 |
| Last updated in NPPES | Jan 8, 2024 |
| Certified by provider | Jan 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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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