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NPI 1558062059
● Active Type 2 · Organization
Mission Haven Rediemed
Family Medicine · Arlington, TX · NPI 1558062059
·
Enumerated 2023 · 3 years on NPI
Mission Haven Rediemed is 1 of 15966 family medicine organizations in Texas.
NPI age
3 years
Enumerated 2023-03-13
Primary specialty
Family Medicine
Plus 2 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Provence
Owner And Provider
Last NPPES update
2023-11-27
Source: monthly bulk 2026-05
How this organization compares
Across 15966 active family medicine providers in Texas.
NPI age
3 years
↓ 14 yr below median
Practice locations
2
1 secondary on file
Subspecialties
2
In the 26% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-03 Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
6108 Shorewood Dr
Arlington, TX 760162649
📞 8174352812
Mailing address
Po Box 170428
Arlington, TX 760030428
📞 8174352812 fax 8177199236
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2117 Brentgate Dr
Arlington, TX 760171611
📞 8174352812 fax 8177199236
Authorized official
Abi Mikkel Provence, APRN, FNP-BC, FNP-C
Owner And Provider
📞 8179929791
Individual providers at this organization
1 individual provider on file at this primary practice address.
Abi Provence , MSN, FNP-BC & FNP-C
Nurse Practitioner
NPI 1922587872
Specialties
Family Medicine
Primary
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
taxonomy 207Q00000X
Clinic/Center
Definition to come...
taxonomy 261QP2300X
Clinic/Center
Definition to come...
taxonomy 261QU0200X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.