AGAPE FAMILY MEDICAL CLINIC INC
NPI 1942186507
Nurse Practitioner - Family in Waterbury, CT

Active since August 11, 2025
1078 W MAIN ST STE 3, WATERBURY, CT 06708(203) 527-3576 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Agape Family Medical Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGAPE FAMILY MEDICAL CLINIC INC (NPI 1942186507) is a healthcare organization registered as a family in Waterbury, Connecticut and active in the NPI registry since August 2025. The organization lists Felistas Mazhandu, Owner, as its authorized official.

NPPES Registry Identity

NPI1942186507
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAGAPE FAMILY MEDICAL CLINIC INC
Location Address1078 W MAIN ST STE 3Waterbury, CT 06708-2651
Mailing Address1078 W Main St Ste 3Waterbury, CT 06708-2651 · (203) 527-3576
Organization SubpartNo
Authorized OfficialFelistas MazhanduOwner · (203) 527-3576
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
✔ NPI 1942186507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1078 W MAIN ST STE 3, Waterbury, CT 06708

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Medical Clinic Inc 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 Medical Clinic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1144674672
53 CHURCH HILL CHASE
Meriden, CT 06450
(860) 797-0572
✔ PECOS✔ Accepts Medicare15 mi

Source: 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 Agape Family Medical Clinic Inc's NPI number?

The NPI number for Agape Family Medical Clinic Inc is 1942186507. It was assigned to this organization in the NPPES registry on August 11, 2025.

Where is Agape Family Medical Clinic Inc located?

Agape Family Medical Clinic Inc is located at 1078 W Main St Ste 3, Waterbury, CT 06708. The listed phone number is (203) 527-3576.

What is Agape Family Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Agape Family Medical Clinic Inc enrolled in Medicare?

Yes. Agape Family Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agape Family Medical Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Agape Family Medical Clinic Inc. 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.

When was this NPI record last updated?

The NPPES record for Agape Family Medical Clinic Inc was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.