Active NPI
Mabel Aggoe-Opoku
- Family Nurse Practitioner
- Grove City, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 022236
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 022236 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healogics Specialty Physicians of Ohio, LLC | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Dominion Home Health Agency LLC | Current | Accepting new patients | |
| Dominion Health Services Inc. | Current | Accepting new patients | |
| Adena Medical Group LLC | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | 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
- maggoeopoku3177416@direct.trinity-health.org
- 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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Troy, OH
- NPI 1124430491
OH
-
- Home Health Agency
- Westerville, OH
- NPI 1073931978
-
- Home Health Agency
- Grove City, OH
- NPI 1407272099
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.