Tanneh Paulenna Agboola, APN
NPI 1013318864ActiveIndividual· Nurse Practitioner, Gerontology· Hamilton, NJ
Nurse Practitioner, Gerontology (APN) in Hamilton, New Jersey, licensed in NJ, with an NPI issued in September 2014. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner.
Overview
| NPI | 1013318864 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APN |
| Sole proprietor | No |
| NPI issued | Sep 11, 2014 |
| Last updated in NPPES | Sep 11, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 26NJ00500900 | NJ |
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 Practitioner - Nurse Practitioner (NJ); Practitioner - Nurse Practitioner (PA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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