Individual provider Active NPI

Anastasia Ofewaa Gyesaw Abankwah, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pickerington, OH
National Provider Identifier
1801082037
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
COA.15733-NP Issued in OH
Practice address
13330 Church View Dr
Pickerington, OH 43147-7931
Phone
(614) 463-0772
NPI assigned
Sep 20, 2007
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3009412 KY
Nurse Practitioner 363L00000X COA.15733-NP OH
Family Nurse Practitioner 363LF0000X COA.15733-NP OH
Family Nurse Practitioner 363LF0000X 3009412 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X COA.15733-NP OH Primary
Registered Nurse 163W00000X 335552 OH

Addresses

Primary practice location

13330 Church View Dr
Pickerington, OH 43147-7931

Mailing address

13330 Church View Dr
Pickerington, OH 43147-7931
Phone (614) 463-0772

Other identifiers 2

IdentifierTypeStateIssuer
0134038MedicaidOH
7100365600MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150521001111 OH Practitioner - Nurse Practitioner 9335469998 Reassigns benefits to 2 organizations
I20150622001607 KY Practitioner - Nurse Practitioner 9335469998 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
335552OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. Nurse Practitioner CurrentSince Aug 31, 2020 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Dec 20, 2024 Accepting new patients
Trihealth G LLC Past Accepting new patients
Summit Medical Group, PLLC PastSince Jan 1, 2020 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: agyesaw@landmarkhealth-direct.org
  • Direct secure messaging: agyesaw11976@direct-prd.molinahealthcare.com

Organizations & group practices 5

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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1801082037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 CHURCH VIEW DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477931",
            "telephone_number": "614-463-0772",
            "fax_number": "513-280-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 CHURCH VIEW DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477931",
            "telephone_number": "614-463-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABANKWAH",
        "first_name": "ANASTASIA",
        "middle_name": "OFEWAA GYESAW",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009412",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.15733-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15733-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009412",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA.15733-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "335552",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134038",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100365600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.