NPIMap

Individual provider Active NPI

Ivy Kwanor Opoku-Mensah, AANP, NP

  • Adult Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1609234533
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN2299208 Issued in MA
Practice address
732 Harrison Ave FL 2
Boston, MA 02118-2309
Phone
(617) 638-7470
Fax
(617) 638-7449
NPI assigned
Feb 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN01450 RI
Adult Health Nurse Practitioner 363LA2200X RN2299208 MA Primary

Addresses

Primary practice location

732 Harrison Ave FL 2
Boston, MA 02118-2309

Mailing address

960 Massachusetts Ave
FL 2
Boston, MA 02118

Other practice location 1

110 Liberty St
Brockton, MA 02301-5674
Phone (508) 894-0400

Other identifiers 2

IdentifierTypeStateIssuer
3140368MedicaidNH
110120280AMedicaidMA

Other names 1

  • Ivy Kwanor Aboagye Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170227002169 MA Practitioner - Nurse Practitioner 1254613300 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evans Medical Foundation IncGroup PAC ID 7416946546, 525 clinicians

Practice addresses (Care Compare)

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-8000

72 E Newton St
CR Evans 124
Boston, MA 02118-2308
Phone (617) 638-7253

88 E Newton St
Boston, MA 02118-2308
Phone (617) 414-5405

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN01450RIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England, P.C. Nurse Practitioner CurrentSince Jan 31, 2017 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Manet Community Health Center, Inc. CurrentSince Oct 10, 2017 Accepting new patients
Ipc Hospitalists of New England PC Nurse Practitioner CurrentSince Jan 31, 2017 Accepting new patients
Evans Medical Foundation, Inc. Adult Health CurrentSince Jul 1, 2023 Accepting new patients
Ipc Hospitalists of New England, P.C. Nurse Practitioner Current Accepting new patients
Manet Community Health Center, Inc. CurrentSince Oct 10, 2017 Accepting new patients
C&S Anesthesia LLC PastSince May 1, 2021 Accepting new patients

Locations

732 Harrison Ave
Fl 2
Boston, MA 02118
Phone (617) 414-0040

732 Harrison Ave
Boston, MA 02118
Phone (617) 414-6840

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

960 Massachusetts Ave
Ste 2
Boston, MA 02118

1 Meadowbrook Way
Canton, MA 02021
Phone (781) 961-5600

180 George Washington Blvd
Hull, MA 02045
Phone (781) 925-4550

1200 Brush Hill Rd
Milton, MA 02186
Phone (617) 333-0600

67 Union St
Natick, MA 01760
Phone (508) 383-1104

9 Bicknell St
Quincy, MA 02169
Phone (617) 376-3000

110 W Squantum St
Quincy, MA 02171
Phone (617) 376-3000

1193 Sea St
Quincy, MA 02169
Phone (617) 471-8683

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4368/brand/1/csg/1/fhir/r4
  • Direct secure messaging: iopokumensah234373@direct.bmc.masshiway.net

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1454716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1609234533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 HARRISON AVE FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182309",
            "telephone_number": "617-638-7470",
            "fax_number": "617-638-7449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023015674",
            "country_code": "US",
            "telephone_number": "508-894-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPOKU-MENSAH",
        "first_name": "IVY",
        "middle_name": "KWANOR",
        "credential": "AANP, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-06",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN01450",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2299208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3140368",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110120280A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVY",
            "last_name": "ABOAGYE",
            "middle_name": "KWANOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.