Individual provider Active NPI

Clarise Nyenty Agbor, FNP-C

  • Primary Care Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1396201620
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP140578 Issued in TX
Practice address
1326 S 14TH St Ste D-D1
Abilene, TX 79602-3743
Phone
(325) 352-0148
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140578 TX
Primary Care Nurse Practitioner 363LP2300X AP140578 TX Primary

Addresses

Primary practice location

1326 S 14TH St Ste D-D1
Abilene, TX 79602-3743

Mailing address

702 Mossy Oak Dr
Abilene, TX 79602-7060
Phone (646) 391-2990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624001465 TX Practitioner - Nurse Practitioner 3779817853 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP140578TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cheerful Mind Recovery LLC CurrentSince Jul 15, 2024 Accepting new patients
Thrive Care LLC CurrentSince Jul 15, 2024 Accepting new patients

Locations

1326 S 14th St
Ste D
Abilene, TX 79602
Phone (325) 275-7932

1326 S 14th St
Ste D1
Abilene, TX 79602
Phone (325) 352-0148

1326 S 14th St
Ste DD1
Abilene, TX 79602
Phone (325) 352-0148

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1396201620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 MOSSY OAK DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027060",
            "telephone_number": "646-391-2990",
            "fax_number": "325-275-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 S 14TH ST STE D-D1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796023743",
            "telephone_number": "325-352-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBOR",
        "first_name": "CLARISE",
        "middle_name": "NYENTY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140578",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP140578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.