Ortho Express Holding Company, LLC
NPI 1962029249ActiveOrganization· Nurse Practitioner· Booneville, MS
Nurse Practitioner in Booneville, Mississippi, registered in NPPES in July 2020. The authorized official on file is Jennifer C. Bullock, President. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery.
Overview
| NPI | 1962029249 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 2, 2020 |
| Last updated in NPPES | Sep 10, 2025 |
| Certified by provider | Sep 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Clinic/Center, Medical Specialty | 261QM2500X | — | — |
| 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (MS) |
|---|
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