Mavis Amankwah, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2357271 Issued in MA

Practice address

249 Loring Ave
Salem, MA 01970-4350

Phone

(978) 777-2700

NPI assigned

Apr 20, 2022

Last updated

Jun 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HKD Outreach PCGroup PAC ID 0547570806, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• HKD Outreach PC

  • Internal Medicine Physician
  • Mattapan, MA
  • NPI 1982082723
  Medicare reassignment Care Compare group NPD
• Algo Health LTD

  • Psychiatry Physician
  • Mattapan, MA
  • NPI 1659238384
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Shore Hospital Inc.

  • General Acute Care Hospital
  • South Weymouth, MA
  • NPI 1134227606
  Care Compare affiliation

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1285377994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 LIBERTY ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233361",
            "telephone_number": "978-777-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 LORING AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704350",
            "telephone_number": "978-777-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANKWAH",
        "first_name": "MAVIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2357271",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2357271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Alvarado
• Rashely Alvarez
• Yimi Alvarez I
• Abdulrahman Alyounes Alayoub
• Christina Oghele Amanambu, MD
• Joseph Amico, M.DIV., CAS, LADC-1
• Folashade Amosun
• Amy Carlson-Pallazola, LMHC, LLC
• Stephanie Amyot
• Anaesthesia Associates of Massachusetts, PC (New England Pain Management Consultants)

• Family Nurse Practitioner in Salem, MA
• Providers in Salem, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.

Verify at the official NPI Registry.