Agnes Ashu Agbortarh

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R216957 Issued in MD

Practice address

5457 Twin Knolls Rd Ste 100
Columbia, MD 21045-3263

Phone

(410) 689-7400

NPI assigned

Jan 6, 2022

Last updated

Apr 26, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimize Medical GroupGroup PAC ID 0446512040, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Optimize Medical Group

  • Adult Health Nurse Practitioner
  • Pikesville, MD
  • NPI 1952818999

  DC

  Medicare reassignment Care Compare group NPD
• Health Practice Partners LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Pasadena, MD
  • NPI 1407409253
  Medicare reassignment NPD
• Seasons Medical Group of Maryland PC

  dba AccentCare Medical Group of Maryland

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Columbia, MD
  • NPI 1376894931
  Medicare reassignment NPD
• Behavioral Health Outreach MD, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
  • NPI 1922811371
  Medicare reassignment
• Viewpoint Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosedale, MD
  • NPI 1801492731
  NPD
• Devine Family Care Practice LLC

  • Family Medicine Physician
  • Gwynn Oak, MD
  • NPI 1053828244
  NPD (past)
• Post Acute Health Care Services LLC

  • Acute Care Nurse Practitioner
  • Pikesville, MD
  • NPI 1982423653
  NPD (past)

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1346901865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 RACE ROAD",
            "address_2": "STE 403",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212371256",
            "telephone_number": "443-868-7101",
            "fax_number": "443-732-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453263",
            "telephone_number": "410-689-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7131 Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "Gywnn Oaks",
            "state": "MD",
            "postal_code": "21207",
            "country_code": "US",
            "telephone_number": "410-963-9577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1232 Race Road",
            "address_2": "Ste 403",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "MD",
            "postal_code": "212371256",
            "country_code": "US",
            "telephone_number": "443-868-7101",
            "fax_number": "443-732-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGBORTARH",
        "first_name": "AGNES",
        "middle_name": "ASHU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R216957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farzaneh Agahi, DNP
• Puneet Agarwal, D.D.S
• Nickolas Theophilos Agathis, M.D. (IN MAY 2015)
• Sarah Bong Agboli, LCMFT
• Irys Ako Agbortabi, CRNA
• Cecily Marie L. Agcaoili, MD
• Age Right Care LLC
• Agewell Alliance
• Saavitri Aggarwal, LGP18232
• Fizza Agha

• Family Nurse Practitioner in Columbia, MD
• Providers in Columbia, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.