Hometown Family Care, LLC
NPI 1790113553ActiveOrganization· Nurse Practitioner, Family· Cookeville, TN
Nurse Practitioner, Family in Cookeville, Tennessee, registered in NPPES in October 2013. The authorized official on file is Wanda Faye Keagle, MSN, FNP, Owner/Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790113553 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2013 |
| Last updated in NPPES | Mar 6, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | ANP 16167 | TN |
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 (TN) |
|---|
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