Afi Edi Agbo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.021949 Issued in OH

Practice address

5971 Golf Club LN
Fairfield Township, OH 45011-8225

Phone

(513) 896-3000

Fax

(513) 737-0524

NPI assigned

Dec 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Physicians Inc 314 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fort Hamilton Hughes Memorial Hospital Hospital, Hamilton, OH, CCN 360132

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572

  OH

  Medicare reassignment Care Compare group NPD
• Premier Health Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Dayton, OH
  • NPI 1134633761

  OH

  Medicare reassignment NPD
• Samaritan Family Care Inc

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1659503886

  OH

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OH

  Medicare reassignment NPD
• Alliance Physicians Inc

  • Urgent Care Clinic/Center
  • Xenia, OH
  • NPI 1952714420
  Care Compare group
• Samaritan Family Care Inc

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1851627228
  NPD
• Comprehensive Rehab Consultants PLLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  Family

  NPD (past)

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

• The Fort Hamilton Hospital

  • General Acute Care Hospital
  • Hamilton, OH
  • NPI 1104867167

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1912413162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746071",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746071",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 GOLF CLUB LN",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450118225",
            "telephone_number": "513-896-3000",
            "fax_number": "513-737-0524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4271 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454171406",
            "country_code": "US",
            "telephone_number": "937-971-7031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1431 Wayne Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454101411",
            "country_code": "US",
            "telephone_number": "937-348-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 Needmore Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454143957",
            "country_code": "US",
            "telephone_number": "937-278-5854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2429 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452117915",
            "country_code": "US",
            "telephone_number": "513-452-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGBO",
        "first_name": "AFI",
        "middle_name": "EDI",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.021949",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "5971 Golf Club Ln",
            "city": "Fairfield Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450118225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aagbo478000@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "5971 Golf Club Ln",
            "city": "Fairfield Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450118225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mary Catherine Aichele
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• Wafa Akkad, M.D.
• Olivia Albrecht

• All providers in Fairfield Township, OH
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.