Individual provider Active NPI

Adjoa D Ofori-Abebresse, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1578926440
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130672 Issued in TX
Practice address
500 Canyon Ridge Dr Ste B300
Austin, TX 78753-1654
Phone
(512) 200-2369
Fax
(512) 782-9316
NPI assigned
Mar 30, 2016
Last updated
May 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 211633 LA
Family Nurse Practitioner 363LF0000X 95006198 CA
Family Nurse Practitioner 363LF0000X AP130672 TX Primary

Addresses

Primary practice location

500 Canyon Ridge Dr Ste B300
Austin, TX 78753-1654

Mailing address

8300 N Lamar Blvd Ste 200a
Austin, TX 78753-5976
Phone (737) 237-0129

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aoforiabebresse2697544@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160817003290 TX Practitioner - Nurse Practitioner 8820383623 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians
Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

4301 W William Cannon Dr
Suite 300
Austin, TX 78749-1473
Phone (512) 222-8868

455 University Blvd
Suite 400
Round Rock, TX 78665-1076
Phone (855) 481-8375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211633LAMDFamily Nurse Practitioner
AP130672TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Dec 10, 2023 Accepting new patients
Nluc PLLC CurrentSince Sep 1, 2022 Accepting new patients
Seton Family of Doctors CurrentSince Dec 10, 2023 Accepting new patients
Nluc PLLC CurrentSince Sep 1, 2022 Accepting new patients
Harbor Health Medical Group CurrentSince May 20, 2024 Accepting new patients
Nluc PLLC Current Accepting new patients
Total MD Physicians Group, PLLC CurrentSince Oct 1, 2022 Accepting new patients
Providence Health Alliance CurrentSince Dec 10, 2023 Accepting new patients
Providence Health Alliance CurrentSince Dec 10, 2023 Accepting new patients
Airrosti Rehab Centers, LLC Past Accepting new patients

Locations

2200 Park Bend Dr
Bldg 2
Austin, TX 78758
Phone (512) 836-5665

3200 Red River St
Ste 201
Austin, TX 78705
Phone (512) 473-0201

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

500 N Capital of Texas Hwy
Ste 125
Austin, TX 78746
Phone (512) 443-9355

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

4301 W William Cannon Dr
#300
Austin, TX 78749
Phone (512) 222-8868

505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505

911 W 38th St
Ste 101
Austin, TX 78705
Phone (512) 600-2888

701 E FM 1626
Ste 100
Austin, TX 78748
Phone (512) 777-0884

500 Canyon Ridge Dr
Ste B300
Austin, TX 78753
Phone (512) 200-2369

507 Calles St
Ste 100
Austin, TX 78702

505 W Louis Henna Blvd
Austin, TX 78728
Phone (512) 522-9902

507 Calles St
Austin, TX 78702

4879 Williams Dr
Ste 103
Georgetown, TX 78633
Phone (402) 802-9157

5401 FM 1626
Ste 150
Kyle, TX 78640
Phone (512) 200-2834

177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

455 University Blvd
Ste 400
Round Rock, TX 78665
Phone (512) 766-2171

603 Louis Henna Blvd
Ste B140
Round Rock, TX 78664
Phone (512) 200-2269

511 Oakwood Blvd
Ste 200
Round Rock, TX 78681
Phone (512) 246-2262

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

1905 SW H K Dodgen Loop
Temple, TX 76502
Phone (254) 298-2400

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

701 S Capital of Texas Hwy
Ste 900
West Lake Hills, TX 78746
Phone (512) 324-6970

Interoperability endpoints

  • Direct secure messaging: adjoa.ofori.1@28292.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: adjoa.ofori-abebresse.2@9635.direct.athenahealth.com

Organizations & group practices 10

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1578926440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N LAMAR BLVD STE 200A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535976",
            "telephone_number": "737-237-0129",
            "fax_number": "512-782-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CANYON RIDGE DR STE B300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531654",
            "telephone_number": "512-200-2369",
            "fax_number": "512-782-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFORI-ABEBRESSE",
        "first_name": "ADJOA",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "211633",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006198",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aoforiabebresse2697544@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "aoforiabebresse2697544@direct.casso.us.com",
            "address_1": "13702 Coursey Blvd Ste Ab",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708171370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13702 Coursey Blvd Ste Ab",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708171370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.