ALEXANDER AYONBO OBORO (CRNP) – Family Nurse Practitioner, NPI 1346807849

ALEXANDER AYONBO OBORO (CRNP) is a healthcare provider. based in Williamsport, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP023456 (PA). The NPI Number for ALEXANDER AYONBO OBORO (CRNP) is 1346807849

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER AYONBO OBORO (CRNP)
NPI
1346807849
Phone
(570) 323-6944
Address
1000 Commerce Park Dr Ste 110
Enumeration Date
21 May 2019
Last Update Date
17 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5703236944
Graduation Year
2017 (9 years ago)
PAC ID
7214261593
Group Practice PAC ID
1052201571
Professional Enrollment ID
I20190619002852
Address ID
PA175518805MI7930XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for ALEXANDER AYONBO OBORO (CRNP)

  • 1000 Commerce Park Dr Ste 110

    Williamsport, PA 177015475

    Phone: (570) 323-6944

    Fax: (570) 323-4529

    Type: Location

  • 429 S Market St

    Martinsburg, PA 166621005

    Phone: (814) 793-2104

    Type: Location

  • 2703 OLD BERWICK RD APT B

    BLOOMSBURG, PA 178153240

    Phone: (215) 252-6645

    Type: Mailing

  • 429, South Market Street, Martinsburg, Blair County, Pennsylvania, 16662, United States

    MARTINSBURG, PA 166621005

    Phone: (814) 793-2104

    Type: Location

  • 7930 NITTANY VALLEY DR

    MILL HALL, PA 177518805

    Phone: (570) 323-6944

    Fax: (570) 323-4529

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 125 Open Payments records for all available years, with a total value of $2,268.

Total Amount is formed as General ($2,268) + Research ($0) + Ownership ($0) = $2,268.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($487).

Total Amount

$2,268

General + Research + Ownership

Payments

125

Total payment records

General Amount

$2,268

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2019-06-19

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
I20190619002852INurse PractitionerPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes17039$0
99214Established patient office or other outpatient visit, 30-39 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 17701)

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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: 1052201571View full group profile
NameSpecialtyState
Marriage And Family TherapistPA
P S Y C H I A T R YPA
-PA
Mental Health CounselorPA
Nurse PractitionerPA
Mental Health CounselorPA
Nurse PractitionerPA
-PA
Nurse PractitionerMA
Clinical PsychologistPA

Reviews

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Frequently asked questions

What number should I use to identify ALEXANDER AYONBO OBORO (CRNP) for billing?
Administrative and clinical systems typically use NPI 1346807849 for ALEXANDER AYONBO OBORO (CRNP).
Should I treat ALEXANDER AYONBO OBORO (CRNP) as an active provider?
Patients and plans typically see ALEXANDER AYONBO OBORO (CRNP) as active in the national extract.
How should patients interpret ALEXANDER AYONBO OBORO (CRNP)'s specialty?
The extract shows Family Nurse Practitioner for ALEXANDER AYONBO OBORO (CRNP). Clinical services aligned with this taxonomy classification.
Is ALEXANDER AYONBO OBORO (CRNP) tied to Williamsport, Pennsylvania?
If you are local to Williamsport, Pennsylvania, ALEXANDER AYONBO OBORO (CRNP) may be relevant to your search.
Why is information missing for ALEXANDER AYONBO OBORO (CRNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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