Agape Life Multicultural Services
NPI 1609698455ActiveOrganization· Nurse Practitioner· Grand Prairie, TX
Nurse Practitioner in Grand Prairie, Texas, registered in NPPES in October 2024. The authorized official on file is Karan Staggers, NURSE PRACTITIONER, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1609698455 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2024 |
| Last updated in NPPES | Oct 31, 2024 |
| Certified by provider | Oct 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
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 (AR); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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