Esry Student Health Center Missouri Western State
NPI 1962859090ActiveOrganization· Nurse Practitioner, Family· Saint Joseph, MO
Nurse Practitioner, Family in Saint Joseph, Missouri, registered in NPPES in May 2016. The authorized official on file is Elizabeth Roderick, FNP, Nurse Practictioner.
Overview
| NPI | 1962859090 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2016 |
| Last updated in NPPES | May 18, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 138383 | MO |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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