GILBERT AGYEMANG-BOAKYE – Family Nurse Practitioner, NPI 1407385149
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for GILBERT AGYEMANG-BOAKYE
25590 PROSPECT AVE APT 42F
LOMA LINDA, CA 923543155
Phone: (951) 534-7114
Type: Mailing
Crafton Hills College, 11711, Sand Canyon Road, Dunlap Acres, Yucaipa, San Bernardino County, California, 92399, United States
YUCAIPA, CA 923991742
Phone: (909) 389-3272
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 210 Open Payments records for all available years, with a total value of $4,865.
Total Amount is formed as General ($4,865) + Research ($0) + Ownership ($0) = $4,865.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Nalu Medical, Inc. ($1,156).
Total Amount
$4,865
General + Research + Ownership
Payments
210
Total payment records
General Amount
$4,865
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nalu Medical, Inc. | $1,156 |
| Medtronic, Inc. | $821 |
| Nevro Corp. | $820 |
| Abbott Laboratories | $762 |
| BIOTRONIK NRO, Inc. | $762 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240430002336 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Pain Management | CA | |
| Physical Therapist In Private Practice | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | CA |
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