Jisha Dudeesh, CNP
NPI 1902356272ActiveIndividual· Nurse Practitioner· Pontiac, MI
Nurse Practitioner (CNP) with Iha Health Services Corporation, practicing in Pontiac, Michigan. Enrolled in Medicare as practitioner - nurse practitioner. Lists Trinity Health Oakland Hospital as a hospital affiliation.
Overview
| NPI | 1902356272 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Oct 10, 2016 |
| Last updated in NPPES | Dec 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704256647 | MI |
| Nurse Practitioner, Gerontology | 363LG0600X | 4704256647 | MI |
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 Practitioner - Nurse Practitioner (MI) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Iha Health Services CorporationPontiac, MI · 1,168 clinicians
Hospital affiliation
- Trinity Health Oakland HospitalPontiac, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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