Jomon Wellness LLC
NPI 1922853860ActiveOrganization· Nurse Practitioner, Family· Stanford, KY
Nurse Practitioner, Family in Stanford, Kentucky, registered in NPPES in April 2024. The authorized official on file is Tracy Boller, NP, Owner/Np.
Overview
| NPI | 1922853860 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2024 |
| Last updated in NPPES | Nov 20, 2025 |
| Certified by provider | Nov 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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 |
|---|
Other Nurse Practitioner, Family providers in Stanford
- 1821155680
- 1396802203
- 1861877326
- 1316723539
- 1487799516
- 1245841063
- 1992490502
- 1013740950
- 1245783554
- 1346727112
- 1710650437
- 1790399236