Penn Patient Care, LLC
NPI 1689470544ActiveOrganization· Nurse Practitioner· Laredo, TX
Nurse Practitioner in Laredo, Texas, registered in NPPES in February 2025. The authorized official on file is Lewis Wagner, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689470544 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2025 |
| Last updated in NPPES | Sep 4, 2025 |
| Certified by provider | Sep 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
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 (TX) |
|---|
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