Berea Urgent Care LLC
NPI 1912054792ActiveOrganization· Nurse Practitioner· Berea, KY
Nurse Practitioner in Berea, Kentucky, registered in NPPES in January 2007. The authorized official on file is Nawar Soda, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912054792 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2007 |
| Last updated in NPPES | May 12, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
| Physician Assistant | 363A00000X | — | — |
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 (KY) |
|---|
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