Jae3 Health and Wellness LLC
NPI 1215529805ActiveOrganization· Nurse Practitioner, Primary Care· Bowie, MD
Nurse Practitioner, Primary Care in Bowie, Maryland, registered in NPPES in February 2021. The authorized official on file is Agnes J. Kallon, CRNP, Medical Director.
Overview
| NPI | 1215529805 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 5, 2021 |
| Last updated in NPPES | Feb 5, 2021 |
| Certified by provider | Feb 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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