Individual provider Active NPI

Princess Awuah Otchere, FNP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1609504745
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95123366 Issued in CA
Practice address
6079 N Fresno St Ste 101
Fresno, CA 93710-5276
Phone
(559) 538-3145
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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 95123366 CA Primary

Addresses

Primary practice location

6079 N Fresno St Ste 101
Fresno, CA 93710-5276

Mailing address

2140 E Bluff View Dr
Fresno, CA 93730-7070
Phone (909) 991-6334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230209000828 CA Practitioner - Nurse Practitioner 4981076452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jandp Spine Center Inc.Group PAC ID 1850632670, 11 clinicians

Practice addresses (Care Compare)

6079 N Fresno St
Suite 101
Fresno, CA 93710-5276
Phone (553) 538-3145

Hospital & facility affiliations

  • Prohealth Home Care, Inc Home health agency, Stockton, CA, CCN 059612
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Quality
81.53
Improvement activities
40
Cost
42.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95123366CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J&P Spine Center Inc. CurrentSince Dec 7, 2022 Accepting new patients
J&P Spine Center Inc CurrentSince Dec 7, 2022 Accepting new patients

Locations

1332 W Herndon Ave
Ste 102
Fresno, CA 93711
Phone (559) 440-9640

6079 N Fresno St
Ste 101
Fresno, CA 93710
Phone (553) 538-3145

475 E Almond Ave
Ste 105
Madera, CA 93637

Organizations & group practices 2

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 4

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1609504745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 E BLUFF VIEW DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937307070",
            "telephone_number": "909-991-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6079 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105276",
            "telephone_number": "559-538-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWUAH OTCHERE",
        "first_name": "PRINCESS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95123366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.