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Prime Telecare LLC

NPI 1629678347ActiveOrganization· Nurse Practitioner, Family· Round Rock, TX

Nurse Practitioner, Family in Round Rock, Texas, registered in NPPES in October 2020. The authorized official on file is Litty Rose Vadakkan, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1629678347
StatusActive
Entity typeOrganization
NPI issuedOct 30, 2020
Last updated in NPPESJul 21, 2026
Certified by providerJul 21, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

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