ABENA F AMPONSAH (FNP-BC) – Nurse Practitioner, NPI 1114529484

ABENA F AMPONSAH (FNP-BC) is a healthcare provider. based in Saint joseph, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704245134 (MI). The NPI Number for ABENA F AMPONSAH (FNP-BC) is 1114529484

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ABENA F AMPONSAH (FNP-BC)
NPI
1114529484
Phone
(269) 429-7100
Address
4025 HEALTH PARK LN
Enumeration Date
12 November 2020
Last Update Date
18 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694281111
Graduation Year
2018 (8 years ago)
PAC ID
9335553304
Group Practice PAC ID
7810184892
Professional Enrollment ID
I20210203000232
Address ID
MI490858630SA3905XPATH300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for ABENA F AMPONSAH (FNP-BC)

  • 4025 HEALTH PARK LN

    SAINT JOSEPH, MI 490853421

    Phone: (269) 429-7100

    Fax: (269) 429-1307

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210203000232INurse PractitionerMITBD
I20221103000723INurse PractitionerINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,729176$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes44074$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes227178$0
View full utilization report →

Insurance plans in this area (ZIP 49085)

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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: 7810184892View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationIN
Nurse PractitionerIL
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationWI
Nurse PractitionerOK
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationWA
Pain Management, Physical Medicine And RehabilitationGA

Reviews

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Frequently asked questions

Does ABENA F AMPONSAH (FNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ABENA F AMPONSAH (FNP-BC) uses 1114529484.
Can I rely on ABENA F AMPONSAH (FNP-BC) being an active provider?
As of the registry snapshot, ABENA F AMPONSAH (FNP-BC) is marked active.
What healthcare role does ABENA F AMPONSAH (FNP-BC) hold?
Scheduling teams often label ABENA F AMPONSAH (FNP-BC) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for ABENA F AMPONSAH (FNP-BC)?
ABENA F AMPONSAH (FNP-BC)'s geographic hint is Saint Joseph, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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