ABODE CARE PARTNERS AL VB, LLC
NPI 1104695550
Nurse Practitioner in Mason, OH
About Abode Care Partners Al Vb, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABODE CARE PARTNERS AL VB, LLC (NPI 1104695550) is a healthcare organization registered as a nurse practitioner in Mason, Ohio and active in the NPI registry since December 2023. The organization lists Angie Mattingly, Mgr Provider Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Abode Care Partners Al Vb, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
53Medicare enrollment records show 53 clinicians reassign Medicare billing to Abode Care Partners Al Vb, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 53Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Abode Care Partners Al Vb, LLC's NPI number?
The NPI number for Abode Care Partners Al Vb, LLC is 1104695550. It was assigned to this organization in the NPPES registry on December 27, 2023.
Where is Abode Care Partners Al Vb, LLC located?
Abode Care Partners Al Vb, LLC is located at 5467 Cedar Village Dr, Mason, OH 45040. The listed phone number is (800) 807-6555.
What is Abode Care Partners Al Vb, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Abode Care Partners Al Vb, LLC enrolled in Medicare?
Yes. Abode Care Partners Al Vb, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Abode Care Partners Al Vb, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 3 Medicare specialties reassign their Medicare billing to Abode Care Partners Al Vb, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (43), Internal Medicine (6) and Family Practice (4). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Abode Care Partners Al Vb, LLC was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Abode Care Partners Al Vb, Llc · NPI 1104695550
Nurse Practitioner organization in Mason, Ohio. Organization record, active in the CMS NPPES registry since December 27, 2023.
## Identity
- **NPI:** 1104695550 (Entity type: Organization)
- **Enumerated:** December 27, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Angie Mattingly, MGR PROVIDER ENROLLMENT
## Practice location
- **Address:** 5467 CEDAR VILLAGE DR, Mason, OH 45040-8693
- **Phone:** (800) 807-6555 · **Fax:** (855) 316-2999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 53 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (43), Internal Medicine (6), Family Practice (4); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1104695550/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104695550) · Data from the CMS NPPES public registry.