Prestige Health Resources
NPI 1790452506ActiveOrganization· Nurse Practitioner, Primary Care· Mansfield, TX
Nurse Practitioner, Primary Care in Mansfield, Texas, registered in NPPES in August 2021. The authorized official on file is Anthony Addae, NP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790452506 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2021 |
| Last updated in NPPES | Aug 28, 2021 |
| Certified by provider | Aug 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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