Individual provider Active NPI

Rita Akowuah, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1073129714
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R206996 Issued in MD
Practice address
1302 Baker Place East Apt 14
Frederick, MD 21702
Phone
(614) 556-2998
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R206996 MD Primary

Addresses

Primary practice location

1302 Baker Place East Apt 14
Frederick, MD 21702

Mailing address

1302 Baker Place East Apt 14
Frederick, MD 21702
Phone (614) 556-2998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230815002564 MD Practitioner - Nurse Practitioner 3375905839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Opal Medical Group PAGroup PAC ID 1658270301, 7 clinicians

Practice addresses (Care Compare)

1126 Opal CT
Hagerstown, MD 21740-5940
Phone (240) 420-2666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R206996MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Opal Medical Group, P.a. CurrentSince Aug 28, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1126 Opal Ct
Hagerstown, MD 21740
Phone (240) 420-0950

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1073129714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 BAKER PLACE EAST APT 14",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "614-556-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 BAKER PLACE EAST APT 14",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "614-556-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKOWUAH",
        "first_name": "RITA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R206996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.