Angels of Ark, LLC
NPI 1285512798ActiveOrganization· Nurse Practitioner· Medford, OR
Nurse Practitioner in Medford, Oregon, registered in NPPES in August 2025. The authorized official on file is Manga Telidevara, NP, Owner.
Overview
| NPI | 1285512798 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2025 |
| Last updated in NPPES | Aug 22, 2025 |
| Certified by provider | Aug 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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