AGAPE FAMILY CLINIC LLC
NPI 1316741101
Nurse Practitioner - Family in Tulsa, OK
About Agape Family Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGAPE FAMILY CLINIC LLC (NPI 1316741101) is a healthcare organization registered as a family in Tulsa, Oklahoma and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Pheng Cing, Owner / Provider, 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)
Agape Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Agape Family Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 37D2327546
Agape Family Clinic LLC · Tulsa, OKFrequently 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 Agape Family Clinic LLC's NPI number?
The NPI number for Agape Family Clinic LLC is 1316741101. It was assigned to this organization in the NPPES registry on April 2, 2025.
Where is Agape Family Clinic LLC located?
Agape Family Clinic LLC is located at 12028 S Norwood Ave Ste 100, Tulsa, OK 74137. The listed phone number is (918) 819-8164.
What is Agape Family Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Agape Family Clinic LLC enrolled in Medicare?
Yes. Agape Family Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Agape Family Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Agape Family Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Agape Family Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2327546) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Agape Family Clinic LLC was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Agape Family Clinic Llc · NPI 1316741101
Family organization in Tulsa, Oklahoma. Organization record, active in the CMS NPPES registry since April 2, 2025.
## Identity
- **NPI:** 1316741101 (Entity type: Organization)
- **Enumerated:** April 2, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Pheng Cing, OWNER / PROVIDER
## Practice location
- **Address:** 12028 S NORWOOD AVE STE 100, Tulsa, OK 74137-5545
- **Phone:** (918) 819-8164
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1316741101) · Data from the CMS NPPES public registry.