PRISCILLA ISABELLA AMPOFO FNP
NPI 1053876409
Nurse Practitioner - Family in New York, NY
About Priscilla Isabella Ampofo Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRISCILLA ISABELLA AMPOFO FNP (NPI 1053876409) is an individual family provider in New York, New York, licensed in New York (343872) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Priscilla Isabella Ampofo Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Priscilla Ampofo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Long Beach, CA 90802
- Reassigned Medicare billing, Connecticut enrollment
- 86 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW YORK, NY 10065
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Priscilla Ampofo's NPI number?
The NPI number for Priscilla Ampofo is 1053876409. It was assigned to this individual provider in the NPPES registry on February 8, 2019. The provider is also known as Priscilla Isabella Ampofo Fnp.
Where is Priscilla Ampofo located?
Priscilla Ampofo practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.
What is Priscilla Ampofo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Priscilla Ampofo enrolled in Medicare?
Yes. Priscilla Ampofo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Priscilla Ampofo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priscilla Ampofo reassigns Medicare benefits to Molina Care Connections, LLC. (Long Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Priscilla Ampofo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Priscilla Ampofo was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Priscilla Isabella Ampofo, FNP · NPI 1053876409
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since February 8, 2019.
## Identity
- **NPI:** 1053876409 (Entity type: Individual)
- **Enumerated:** February 8, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 343872 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (212) 639-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1053876409) · Data from the CMS NPPES public registry.