Jami L. Mayhew, N.P.
Individual provider Active NPI Family Nurse Practitioner · Wood River, IL
NPI 1922280254 · NPPES record last updated Sep 3, 2009
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 20, 2021.
Key facts
- NPI
- 1922280254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209-006759 (IL)
- Practice address
- 393 E Edwardsville Rd
Wood River, IL 62095-1646 - Phone
- (618) 259-4111
- NPI assigned
- Nov 28, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-006759 | IL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209-006759 | IL | Yes |
Addresses
Primary practice location
393 E Edwardsville Rd
Wood River, IL 62095-1646
Mailing address
21333 Haggerty Rd
Suite 150
Novi, MI 48375-5510
Phone (248) 662-0250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00441287 | Other | IL | MEDICARE RAILROAD |
Other providers in Wood River, IL
- Angelina M Leitschuh
- Jennifer Melynne McAfee Maag
- Laura Ellen Malley
- Dillon Gene Manion
- Donald Edward Mayden
- Melissa McHenry
- Amanda C McMurray
- Meagan Mariah McNealy
- Brittany Sunshine Meredith
- Erin L Micenheimer
All providers in Wood River, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.