Individual provider Active NPI

Mabel Aggoe-Opoku

  • Family Nurse Practitioner
  • Grove City, OH
National Provider Identifier
1477877645
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
022236 Issued in OH
Practice address
4191 Kelnor Dr Ste 300
Grove City, OH 43123-3990
Phone
(614) 875-6349
NPI assigned
Mar 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 022236 OH Primary

Addresses

Primary practice location

4191 Kelnor Dr Ste 300
Grove City, OH 43123-3990

Mailing address

3955 Snowshoe Ave
Grove City, OH 43123-1198
Phone (614) 209-9340

Other names 1

  • Mabel Aggoe Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20180302001980 OH Practitioner - Nurse Practitioner 1254692411 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2511 W Schrock Rd
Westerville, OH 43081-8956
Phone (614) 209-9340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022236OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Ohio, LLC CurrentSince Oct 18, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 21, 2019 Accepting new patients
Dominion Home Health Agency LLC Current Accepting new patients
Dominion Health Services Inc. CurrentSince May 4, 2020 Accepting new patients
Adena Medical Group LLC CurrentSince Apr 24, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 21, 2019 Accepting new patients
Dominion Home Health Agency Past Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

4457 State Route 159
Chillicothe, OH 45601
Phone (740) 775-7771

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

4191 Kelnor Dr
Ste 300
Grove City, OH 43123
Phone (614) 875-3592

5500 N Meadows Dr
Ste 130
Grove City, OH 43123
Phone (614) 663-3515

1010 Cereal Ave
Hamilton, OH 45013
Phone (513) 281-8827

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

2511 W Schrock Rd
Westerville, OH 43081
Phone (614) 209-9340

Interoperability endpoints

  • Direct secure messaging: maggoeopoku3177416@direct.trinity-health.org
  • Direct secure messaging: mabel.aggoe-opoku.1@22882.direct.athenahealth.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1477877645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 SNOWSHOE AVE",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431231198",
            "telephone_number": "614-209-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 KELNOR DR STE 300",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233990",
            "telephone_number": "614-875-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGGOE-OPOKU",
        "first_name": "MABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "022236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MABEL",
            "last_name": "AGGOE",
            "credential": "NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.