Abode Care Partners Ltc Vb, LLC
NPI 1366211534ActiveOrganization· Nurse Practitioner· Johnston, IA
Nurse Practitioner in Johnston, Iowa, registered in NPPES in December 2023. The authorized official on file is Angie Mattingly, Mgr Provider Enrollment. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366211534 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 28, 2023 |
| Last updated in NPPES | Jun 1, 2026 |
| Certified by provider | Jun 1, 2026 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (IA) |
|---|
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