ELSIE ANTWIWAA TWENEBOAH-KODUAH DNP,CRNP,PMHNP
NPI 1134680648
Nurse Practitioner - Family in Joppa, MD

Q: What is Elsie Tweneboah-koduah's NPI number?

The NPI number for Elsie Tweneboah-koduah is 1134680648. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Q: What is Elsie Tweneboah-koduah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 27, 2019PECOS Enrolled

317 SPRY ISLAND RD, JOPPA, MD 21085(667) 434-6218 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2024, Dec 16, 2019, Nov 13, 2019 and 6 more (9 updates tracked since 2019).

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About Elsie Antwiwaa Tweneboah-koduah Dnp,crnp,pmhnp NPPES

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

ELSIE ANTWIWAA TWENEBOAH-KODUAH DNP,CRNP,PMHNP (NPI 1134680648) is an individual family provider in Joppa, Maryland, licensed in Maryland (R209129) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134680648

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELSIE ANTWIWAA TWENEBOAH-KODUAHCredential: DNP,CRNP,PMHNP

Location Address317 SPRY ISLAND RDJoppa, MD 21085-5425

Mailing Address318 Spry Island RdJoppa, MD 21085-5424 · (317) 797-9816

Phone(667) 434-6218

Sole ProprietorNo

Enumeration DateMarch 27, 2019

Last NPPES UpdateJuly 22, 20249 updates tracked since enumeration

NPPES CertifiedJuly 22, 2024

✔ NPI 1134680648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MD · R209129

317 SPRY ISLAND RD, Joppa, MD 21085

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Secondary Practice Locations 2

Location 11952 Pulaski HwyEdgewood, MD 21040-1658 · Phone (410) 676-1463 · Fax (410) 676-0864

Location 21 Barrington Pl Ste 103Bel Air, MD 21014-5607 · Phone (410) 676-1463

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elsie Antwiwaa Tweneboah-koduah Dnp,crnp,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 21085 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

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 Elsie Tweneboah-koduah's NPI number?

The NPI number for Elsie Tweneboah-koduah is 1134680648. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Elsie Tweneboah-koduah located?

Elsie Tweneboah-koduah practices at 317 Spry Island Rd, Joppa, MD 21085. The listed phone number is (667) 434-6218.

What is Elsie Tweneboah-koduah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elsie Tweneboah-koduah enrolled in Medicare?

Yes. Elsie Tweneboah-koduah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elsie Tweneboah-koduah was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.