Renaissance Health LLC
NPI 1104772482ActiveOrganization· Nurse Practitioner, Adult Health· Oklahoma City, OK
Nurse Practitioner, Adult Health in Oklahoma City, Oklahoma, registered in NPPES in March 2026. The authorized official on file is Bhavi Shah, DNP, ANP-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104772482 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2026 |
| Last updated in NPPES | May 11, 2026 |
| Certified by provider | May 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — | — |
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 (OK) |
|---|
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