FOSUA AGYENIM BOATENG PMHNP
NPI 1013772128
Nurse Practitioner - Psychiatric/Mental Health in Mount Vernon, NY

Q: What is Fosua Agyenim Boateng's NPI number?

The NPI number for Fosua Agyenim Boateng is 1013772128. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Q: What is Fosua Agyenim Boateng's specialty?

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

Active since February 19, 2024PECOS Enrolled

6 GRAMATAN AVE STE 606, MOUNT VERNON, NY 10550(212) 961-7299 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fosua Agyenim Boateng Pmhnp NPPES

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

FOSUA AGYENIM BOATENG PMHNP (NPI 1013772128) is an individual psychiatric/mental health provider in Mount Vernon, New York, licensed in New York (405667) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013772128

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameFOSUA AGYENIM BOATENGCredential: PMHNP

Location Address6 GRAMATAN AVE STE 606Mount Vernon, NY 10550-3208

Mailing Address207 Hoover Rd Apt 2Yonkers, NY 10710-3440 · (914) 536-7623

Phone(212) 961-7299

Sole ProprietorNo

Enumeration DateFebruary 19, 2024

NPPES CertifiedFebruary 17, 2024

✔ NPI 1013772128 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 · 405667

6 GRAMATAN AVE STE 606, Mount Vernon, NY 10550

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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 (PECOS)

Fosua Agyenim Boateng Pmhnp 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 10550 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 6

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

MR. PATRICK AKOBEH TIGENOAH PSYCHIATRIC NP