Abode Care Partners Al Vb, LLC
NPI 1770808446ActiveOrganization· Nurse Practitioner· Lexington Pk, MD
Nurse Practitioner in Lexington Pk, Maryland, registered in NPPES in April 2010, part of Shc Medical Partners, LLC. The authorized official on file is Angie Mattingly, Mgr Provider Enrollment.
Overview
| NPI | 1770808446 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Shc Medical Partners, LLC |
| NPI issued | Apr 6, 2010 |
| Last updated in NPPES | Dec 26, 2023 |
| Certified by provider | Dec 26, 2023 |
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 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nurse Practitioner providers in Lexington Pk
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