Amma Ankwah Boafo, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0024187008 Issued in VA

Practice address

9208 Cremins CT
Mechanicsville, VA 23116-2765

Phone

(646) 691-7134

NPI assigned

May 1, 2023

Last updated

Feb 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aboafo19822@carelonhealth.direct-ci.com

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.

• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  VA

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1780373308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303108",
            "telephone_number": "804-310-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9208 CREMINS CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162765",
            "telephone_number": "646-691-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAFO",
        "first_name": "AMMA",
        "middle_name": "ANKWAH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-02-04",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024187008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Lee Blackburn, MD
• Cynthia Bresko Blair
• Edsel Dean Blair, DDS
• Lori Blair, P.T.
• Thomas Duvall Blake, M.D.
• Lia Boggs
• Wendy Boggs
• Alison Bollander
• Steve Bolling, LPTA
• Frank Ashton Bolton III

• Gerontology Nurse Practitioner in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Gerontology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.