Nana Yaa F Agyemang, NP
Individual provider Active NPI Family Nurse Practitioner · Cumberland, MD
NPI 1225524796 · NPPES record last updated Jun 1, 2021
Key facts
- NPI
- 1225524796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R190356 (MD)
- Practice address
- 157 Baltimore St
Cumberland, MD 21502-2472 - Phone
- (301) 722-3215
- Fax
- (301) 722-4814
- NPI assigned
- Jul 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23 W Diamond Ave
Suite 205
Gaithersburg, MD 20877-2167
Phone (240) 848-3089
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 79.78
- Promoting interoperability
- 98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- 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 |
|---|---|---|---|---|
| I20180926000371 | DC | Practitioner - Nurse Practitioner | 9335490614 | Reassigns benefits to 4 organizations |
| I20190204002208 | MD | Practitioner - Nurse Practitioner | 9335490614 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Physician Services, Inc. | Single Specialty | Current |
Accepting new patients |
| Integrated Wound Care Maryland LLC | Single Specialty | Current |
Accepting new patients |
| CTG LLC | Single Specialty | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600
820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878
820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030
6 Montgomery Village Ave
Ste 402
Gaithersburg, MD 20879
Phone (301) 948-0098
6 Montgomery Village Ave
Montgomery Village, MD 20879
Phone (301) 948-0098
85 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 535-2300
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
11810 Grand Park Ave
Ste 500
Rockville, MD 20852
Phone (301) 276-5468
492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | R190356 | MD | Yes |
Addresses
Primary practice location
157 Baltimore St
Cumberland, MD 21502-2472
Mailing address
9209 Weathervane PL
Montgomery Village, MD 20886-1413
Phone (240) 848-3089
Other practice location 1
9209 Weathervane Pl
Montgomery Village, MD 20886-1413
Phone (240) 848-3089
Other providers in Cumberland, MD
- Amy Givens Adams
- Kaitlen Adams
- Adr LLC
- Advanced Mobility, LLC
- Agape Counseling
- Amie Jo Albright
- Sahar Alee Koloukani
- Kshitiz Alekh
- Ali Behnam, M.D.,P.a.
- Kimberly Alkire
All providers in Cumberland, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2021. 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.