AMAKA OFONAGORO – Nurse Practitioner, NPI 1700665932

AMAKA OFONAGORO is a healthcare provider. based in Canton, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2269069 (MA). The NPI Number for AMAKA OFONAGORO is 1700665932

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
AMAKA OFONAGORO
NPI
1700665932
Phone
Not provided
Address
27 RANDOLPH ST
Enumeration Date
26 September 2023
Last Update Date
26 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7819263339
Graduation Year
2021 (5 years ago)
PAC ID
8628410032
Group Practice PAC ID
4880063726
Professional Enrollment ID
I20240530000399
Address ID
MA023684505RA81XXXPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for AMAKA OFONAGORO

  • 27 RANDOLPH ST

    CANTON, MA 020212324

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Gilead Sciences, Inc. ($53).

Total Amount

$99

General + Research + Ownership

Payments

4

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240530000399INurse PractitionerMATBD

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.

Verify on CMS Revalidation Lookup Tool

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 02021)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880063726View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Internal MedicineMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMAKA OFONAGORO?
AMAKA OFONAGORO — NPI 1700665932 — is the standard way to identify this listing.
Does CMS list AMAKA OFONAGORO as active?
Yes — AMAKA OFONAGORO is active in the NPI listing used on this page.
What is AMAKA OFONAGORO's primary classification?
Nurse Practitioner is the headline specialty for AMAKA OFONAGORO here. Clinical services aligned with this taxonomy classification.
Where should I expect AMAKA OFONAGORO on a map?
Expect Canton, Massachusetts as a primary anchor for AMAKA OFONAGORO unless the record lists multiple sites.
Is the information about AMAKA OFONAGORO up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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