Active NPI
Anastasia Abena Amponsah
- Family Nurse Practitioner
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ14976600
- Practice address
- 994 W Sherman Ave BLDG 2
Vineland, NJ 08360-6937 - Phone
- (856) 288-1281
- NPI assigned
- Dec 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ14976600 | NJ | Primary |
Addresses
Primary practice location
994 W Sherman Ave BLDG 2
Vineland, NJ 08360-6937
Mailing address
200 Banning St Ste 280
Dover, DE 19904-3489
Phone (302) 866-2494
Other names 1
- Anastasia Amponsah
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240528002700 | NJ | Practitioner - Nurse Practitioner | 1355783911 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kane Wound Care LLC
Practice addresses (Care Compare)
3626 Route 1 N
Princeton, NJ 08540-5922
Phone (609) 945-3611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14976600 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kane Wound Care LLC | Current | Accepting new patients | |
| Pulse Vascular, LLC | Current | Accepting new patients |
Locations
93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800
100 Mazdabrook Rd
#One
Parsippany, NJ 07054
Phone (732) 841-9338
3626 US Highway 1
Princeton, NJ 08540
Phone (609) 243-0445
994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246
1302 Laurel Oak Rd
Voorhees, NJ 08043
Phone (856) 346-1200
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": "1702598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1124896477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BANNING ST STE 280",
"city": "DOVER",
"state": "DE",
"postal_code": "199043489",
"telephone_number": "302-866-2494",
"fax_number": "302-487-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "994 W SHERMAN AVE BLDG 2",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606937",
"telephone_number": "856-288-1281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMPONSAH",
"first_name": "ANASTASIA",
"middle_name": "ABENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-15",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ14976600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANASTASIA",
"last_name": "AMPONSAH",
"credential": "APN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.