David Nana Ampong, DNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Anchorage, AK
NPI 1174867428 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1174867428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 136437 (AK)
- Practice address
- 1577 C St Ste 201
Anchorage, AK 99501-5164 - Phone
- (907) 222-2448
- Fax
- (907) 268-6275
- NPI assigned
- Nov 26, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1577 C St
Suite 201
Anchorage, AK 99501-5164
Phone (907) 222-2448
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201207001355 | AK | Practitioner - Nurse Practitioner | 2567797699 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34122 | AK | MD | Registered Nurse |
| 136437 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David N Ampong | Psychiatric/Mental Health | Current |
Accepting new patients |
| E & a, Inc. | Past |
Accepting new patients | |
| E & a, Inc. | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
1577 C St
Ste 204
Anchorage, AK 99501
Phone (907) 205-6912
1577 C St
Ste 201
Anchorage, AK 99501
Phone (907) 222-2448
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 34122 | AK | |
| Family Nurse Practitioner | 363LF0000X | 136437 | AK | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 136437 | AK | Yes |
Addresses
Primary practice location
1577 C St Ste 201
Anchorage, AK 99501-5164
Mailing address
1577 C St Ste 201
Anchorage, AK 99501-5164
Phone (907) 222-2448
Other providers in Anchorage, AK
- Gemma Amorelli
- Haley Amorelli
- Darrick Dwaine Amos
- Momoi Amotai
- Joey Amperosa
- Salsabil B Amri
- Jennifer R Amstadter
- Tashia M. Amstislavski
- Linda A Amundson
- Amy'S Speech Shop L.L.C
All providers in Anchorage, AK · Psychiatric/Mental Health Nurse Practitioner in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.