Holly Wruck Inc
NPI 1962215004ActiveOrganization· Dietitian, Registered· Edina, MN
Dietitian, Registered in Edina, Minnesota, registered in NPPES in January 2025. The authorized official on file is Holly Wruck, MS, RDN, LD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962215004 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2025 |
| Last updated in NPPES | Jan 31, 2025 |
| Certified by provider | Jan 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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