Nikita Niebert Pravecek, RN
Registered Nurse in Apo, AE. Individual provider (NPI-1).
NPI number1245030352
StatusActive
Last updated in NPPESMar 17, 2025
Details
- NPI
- 1245030352
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nikita Niebert Pravecek
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 17, 2025
- Certification date
- Mar 17, 2025
- Last updated
- Mar 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 253183 | TN | Yes |
Practice location
Unit 5210 Box 230Apo, AE 09461-5210
Phone 347-854-5106
Mailing address
13807 John Lee RdBiloxi, MS 39532-8760
Phone 347-854-5106
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