1. Home
  2. Directory
  3. Oklahoma
  4. City
  5. Nurse Practitioner
  6. NPI Profile

CHARLES M FOFANG NP
NPI 1093225989
Nurse Practitioner in Oklahoma City, OK

Active since October 04, 2017PECOS EnrolledAccepts Medicare Assignment
93.33/100
CMS Quality Rating
1122 NE 13TH ST, OKLAHOMA CITY, OK 73117(405) 271-4351(405) 271-8695 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles M Fofang Np NPPES

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

CHARLES M FOFANG NP (NPI 1093225989) is an individual nurse practitioner in Oklahoma City, Oklahoma, licensed in Oklahoma (F10170079) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and maintains a secondary practice location in Edmond.

NPPES Registry Identity

NPI1093225989
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCHARLES M FOFANGCredential: NP
Location Address1122 NE 13TH STOklahoma City, OK 73117-1039
Mailing AddressPo Box 26901Oklahoma City, OK 73126-0901 · (405) 271-4351 · Fax (405) 271-8695
Phone(405) 271-4351
Fax(405) 271-8695
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 4, 2017
Last NPPES UpdateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1093225989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OK · F10170079
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1122 NE 13TH ST, Oklahoma City, OK 73117
Open in Google Maps ↗

Secondary Practice Location 1

Location 11812 Brittany LnEdmond, OK 73003-3810 · Phone (216) 269-9592

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Charles M Fofang Np 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 ID42574303
PECOS Enrollment IDI20180514002493
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
28 services25 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73117 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

93.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.86
Promoting Interoperability100
Improvement Activities40
Cost69.21

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.

RACHEL HAND PAC
Physician Assistant (Medical)
1122 NE 13TH ST, ORB 1200
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 271-8558
DALLAS D CURTIS LP
Prosthetist
1122 NE 13TH ST, ORI WB501
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 271-3644
JOSHUA CHITWOOD MD
Internal Medicine (Geriatric Medicine)
1122 NE 13TH ST
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 271-8558
SAKSHI BAI M.D.
Internal Medicine
1122 NE 13TH ST
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 271-8558
DR. THOMAS VIET HA PHARMD
Pharmacist
1122 NE 13TH ST
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 271-1729
ARIA KHAN MD
Internal Medicine
1122 NE 13TH ST
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 271-8558
LIESCHEN H QUIROZ M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1122 NE 13TH ST, ORI 274B
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 271-1515
DR. ADAM ASCH M.D.
Internal Medicine (Hematology & Oncology)
1122 NE 13TH ST, ORI 274
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 271-8299

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 Charles Fofang's NPI number?

The NPI number for Charles Fofang is 1093225989. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Where is Charles Fofang located?

Charles Fofang practices at 1122 NE 13th St, Oklahoma City, OK 73117. The listed phone number is (405) 271-4351.

What is Charles Fofang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Charles Fofang enrolled in Medicare?

Yes. Charles Fofang 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.

What insurance does Charles Fofang accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Charles Fofang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Fofang affiliated with any hospitals?

According to CMS data, Charles Fofang is affiliated with Ssm Health St Anthony Hospital - Oklahoma City.

When was this NPI record last updated?

The NPPES record for Charles Fofang was last updated on January 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.