TANNEH PAULENNA AGBOOLA APN
NPI 1013318864
Nurse Practitioner - Gerontology in Hamilton, NJ

Q: What is Tanneh Agboola's NPI number?

The NPI number for Tanneh Agboola is 1013318864. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Q: What is Tanneh Agboola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Tanneh Agboola was last updated on September 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2014PECOS Enrolled

1435 LIBERTY ST, HAMILTON, NJ 08629(609) 599-5433(609) 475-4662 Get Directions Write a Review

NPPES record last updated: September 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tanneh Paulenna Agboola Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNEH PAULENNA AGBOOLA APN (NPI 1013318864) is an individual gerontology provider in Hamilton, New Jersey, licensed in New Jersey (26NJ00500900) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013318864

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameTANNEH PAULENNA AGBOOLACredential: APN

Location Address1435 LIBERTY STHamilton, NJ 08629-2220

Mailing Address1435 Liberty StHamilton, NJ 08629-2220 · (609) 599-5433 · Fax (609) 475-4662

Phone(609) 599-5433

Fax(609) 475-4662

Sole ProprietorNo

Enumeration DateSeptember 11, 2014

✔ NPI 1013318864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NJ · 26NJ00500900

1435 LIBERTY ST, Hamilton, NJ 08629

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanneh Paulenna Agboola Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08629 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier46 claims46 services$39.32 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier27 claims27 services$10.97 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier26 claims26 services$3.92 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier13 claims13 services$6.83 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers71 claims71 services$56.07 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers23 claims23 services$32.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JACQUELINE SUZANNE BRENNAN LCSW

Social Worker (Clinical)

1435 LIBERTY ST
TRENTON, NJ 08629

Mercer County (609) 599-5433

RACHEL ZILBER LSW

Social Worker

1435 LIBERTY ST
TRENTON, NJ 08629

Mercer County (609) 599-5433

ERINN O'CONNOR-STOVER D.P.T.

Physical Therapist