Primary Care of Orange City LLC
NPI 1972249530ActiveOrganization· Nurse Practitioner· Orange City, FL
Nurse Practitioner in Orange City, Florida, registered in NPPES in May 2022, part of Primary Care of Orange City LLC. The authorized official on file is John Croker, APRN, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972249530 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Primary Care of Orange City LLC |
| NPI issued | May 6, 2022 |
| Last updated in NPPES | Jun 29, 2022 |
| Certified by provider | Jun 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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