Individual provider Active NPI

Nana Yaa F Agyemang, NP

  • Family Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1225524796
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R190356 Issued in MD
Practice address
157 Baltimore St
Cumberland, MD 21502-2472
Phone
(301) 722-3215
Fax
(301) 722-4814
NPI assigned
Jul 7, 2018
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R190356 MD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180926000371 DC Practitioner - Nurse Practitioner 9335490614 Reassigns benefits to 4 organizations
I20190204002208 MD Practitioner - Nurse Practitioner 9335490614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 100Reported as apm
Quality
79.78
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care Maryland LLC Single Specialty CurrentSince May 10, 2022 Accepting new patients
Adventist Physician Services, Inc. Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
CTG LLC Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

6 Montgomery Village Ave
Ste 402
Gaithersburg, MD 20879
Phone (301) 948-0098

820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

6 Montgomery Village Ave
Montgomery Village, MD 20879
Phone (301) 948-0098

85 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 535-2300

11810 Grand Park Ave
Ste 500
Rockville, MD 20852
Phone (301) 276-5468

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1225524796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 WEATHERVANE PL",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861413",
            "telephone_number": "240-848-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "301-722-3215",
            "fax_number": "301-722-4814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9209 Weathervane Pl",
            "address_purpose": "LOCATION",
            "city": "Montgomery Village",
            "state": "MD",
            "postal_code": "208861413",
            "country_code": "US",
            "telephone_number": "240-848-3089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGYEMANG",
        "first_name": "NANA YAA",
        "middle_name": "F",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-07",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R190356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.