Individual provider Active NPI

Sandra Baffour Kyei, ACNPC-AG

  • Nurse Practitioner
  • High Point, NC
National Provider Identifier
1023786605
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5014962 Issued in NC
Practice address
601 N Elm St
High Point, NC 27262-4331
Phone
(336) 972-0792
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 5014962 NC
Nurse Practitioner 363L00000X 5014962 NC Primary

Addresses

Primary practice location

601 N Elm St
High Point, NC 27262-4331

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-3182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210916003468 NC Practitioner - Nurse Practitioner 0345647327 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians
Vitae Health Medical North Carolina PLLCGroup PAC ID 7719317932, 41 clinicians
Inpatient Consultants of North Carolina PCGroup PAC ID 5991720591, 85 clinicians

Practice addresses (Care Compare)

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-0500

515 Barbour Rd
Smithfield, NC 27577-7698
Phone (919) 934-6017

550 Glenwood Dr
Mooresville, NC 28115-2876
Phone (704) 664-7494

620 Tom Hunter Rd
Charlotte, NC 28213-5511
Phone (704) 598-5136

Hospital & facility affiliations

  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5014962NCMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
Inpatient Consultants of North Carolina, PC Nurse Practitioner CurrentSince Jul 10, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Inpatient Consultants of North Carolina, PC Nurse Practitioner CurrentSince Jul 10, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 1, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 1, 2022 Accepting new patients
Vitae Health Medical North Carolina, PLLC CurrentSince Jan 2, 2025 Accepting new patients
NM Pacs 2 LLC CurrentSince Jul 10, 2023 Accepting new patients

Locations

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

620 Tom Hunter Rd
Charlotte, NC 28213
Phone (704) 598-5031

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

1918 Randolph Rd
Ste 580
Charlotte, NC 28207
Phone (704) 333-9113

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

515 Barbour Rd
Smithfield, NC 27577
Phone (919) 227-6261

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: skyei450024@direct.novanthealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1023786605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-3182",
            "fax_number": "336-716-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N ELM ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624331",
            "telephone_number": "336-972-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYEI",
        "first_name": "SANDRA",
        "middle_name": "BAFFOUR",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NC",
            "license": "5014962",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.