MICHAEL OWUSU AGYEMANG APRN
NPI 1043717747
Nurse Practitioner - Primary Care in Grand Prairie, TX

Active since April 09, 2018PECOS Enrolled
2520 W I 20, GRAND PRAIRIE, TX 75052(972) 264-5858(972) 264-8800 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 28, 2021, Apr 9, 2018 (2 updates tracked since 2018).

About Michael Owusu Agyemang Aprn NPPES

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

MICHAEL OWUSU AGYEMANG APRN (NPI 1043717747) is an individual primary care provider in Grand Prairie, Texas, licensed in Texas (AP136284) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043717747
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMICHAEL OWUSU AGYEMANGCredential: APRN
Location Address2520 W I 20Grand Prairie, TX 75052-7280
Mailing Address4500 S Lancaster RdDallas, TX 75216-7167 · (972) 745-7500 · Fax (972) 745-4336
Fax(972) 264-8800
Sole ProprietorNo
Enumeration DateApril 9, 2018
Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
NPI 1043717747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in TX · AP136284
2520 W I 20, Grand Prairie, TX 75052

Accepted 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)

Michael Owusu Agyemang Aprn 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 75052 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Physician Assistant
2520 W I 20
GRAND PRAIRIE, TX 75052
Physician Assistant
2520 W I 20
GRAND PRAIRIE, TX 75052
Physician Assistant
2520 W I 20
GRAND PRAIRIE, TX 75052
Family Medicine
2520 W I 20
GRAND PRAIRIE, TX 75052
Family Medicine
2520 W I 20
GRAND PRAIRIE, TX 75052
General Practice
2520 W I 20
GRAND PRAIRIE, TX 75052

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043717747, enumerated as an "individual" on April 09, 2018.

The provider is located at 2520 W I 20 GRAND PRAIRIE, TX 75052 and the phone number is (972) 264-5858.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.