Primesource Nursing Services, Inc
NPI 1962573170ActiveOrganization· Nurse Practitioner, Family· Gulfport, MS
Nurse Practitioner, Family in Gulfport, Mississippi, registered in NPPES in November 2006. The authorized official on file is Jana Plauche, RN, Vice President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962573170 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2006 |
| Last updated in NPPES | Jun 8, 2026 |
| Certified by provider | Jun 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 7381 | MS |
| Social Worker, Clinical | 1041C0700X | — | — |
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 Part B Supplier - Clinic/Group Practice (MS) |
|---|
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