Andrea Bagley, AGACNP-BC
NPI 1356126171ActiveIndividual· Nurse Practitioner, Acute Care· Providence, RI
Nurse Practitioner, Acute Care (AGACNP-BC) with Lifespan Physician Group Inc, practicing in Providence, Rhode Island. Enrolled in Medicare as practitioner - nurse practitioner. Lists The Miriam Hospital as a hospital affiliation.
Overview
| NPI | 1356126171 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP-BC |
| Sole proprietor | Yes |
| NPI issued | Aug 29, 2023 |
| Last updated in NPPES | Aug 29, 2023 |
| Certified by provider | Jul 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | APRN03743 | RI |
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 Practitioner - Nurse Practitioner (RI) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
Hospital affiliation
- The Miriam HospitalProvidence, RI
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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