JOHNSON OPPONG PSYCHIATRIC NURSE PR
NPI 1013518794
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY

Q: What is Johnson Oppong's NPI number?

The NPI number for Johnson Oppong is 1013518794. It was assigned to this individual provider in the NPPES registry on November 8, 2020.

Q: What is Johnson Oppong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Johnson Oppong was last updated on September 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 08, 2020PECOS EnrolledAccepts Medicare Assignment

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295(718) 299-6797 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2023, Aug 10, 2021, Nov 8, 2020 (3 updates tracked since 2020).

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About Johnson Oppong Psychiatric Nurse Pr NPPES

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

JOHNSON OPPONG PSYCHIATRIC NURSE PR (NPI 1013518794) is an individual psychiatric/mental health provider in Bronx, New York, licensed in New York (F4031-75) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013518794

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJOHNSON OPPONGCredential: PSYCHIATRIC NURSE PR

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address1808 Route 6Carmel, NY 10512 · (845) 225-2700 · Fax (845) 225-3207

Phone(718) 299-7295

Fax(718) 299-6797

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 8, 2020

Last NPPES UpdateSeptember 22, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2025

✔ NPI 1013518794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F4031-75

2015 GRAND CONCOURSE, Bronx, NY 10453

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johnson Oppong Psychiatric Nurse Pr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638570872

PECOS Enrollment IDI20210625001581

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 10453 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Other Providers at the Same Location NPPES 20

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

MANA RAO M.D.

Internal Medicine (Infectious Disease)