MR. EMMANUEL TETTEH AGBOTTAH FNP
NPI 1376977199
Nurse Practitioner - Family in Medford, MA

Q: What is Emmanuel Agbottah's NPI number?

The NPI number for Emmanuel Agbottah is 1376977199. It was assigned to this individual provider in the NPPES registry on August 28, 2013.

Q: What is Emmanuel Agbottah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emmanuel Agbottah was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since August 28, 2013PECOS EnrolledAccepts Medicare Assignment

85 HIGH ST, MEDFORD, MA 02155(781) 396-4770 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Emmanuel Tetteh Agbottah Fnp NPPES

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

MR. EMMANUEL TETTEH AGBOTTAH FNP (NPI 1376977199) is an individual family provider in Medford, Massachusetts, licensed in Massachusetts (282680) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1376977199

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. EMMANUEL TETTEH AGBOTTAHCredential: FNP

Location Address85 HIGH STMedford, MA 02155-3825

Mailing Address85 High StMedford, MA 02155-3825 · (781) 396-4770

Phone(781) 396-4770

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 28, 2013

Last NPPES UpdateAugust 21, 2025

NPPES CertifiedAugust 21, 2025

✔ NPI 1376977199 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 MA · 282680

85 HIGH ST, Medford, MA 02155

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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

Mr. Emmanuel Tetteh Agbottah 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.

PECOS PAC ID1153551031

PECOS Enrollment IDI20180402002051

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

28 services27 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 19

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

NATALIE DIESZ

Pharmacist

85 HIGH ST
MEDFORD, MA 02155

Middlesex County (781) 396-4770

SANDY MAC

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

85 HIGH ST
MEDFORD, MA 02155

Middlesex County (781) 396-4770

OLIVIA ETONDI PHARM D

Pharmacist

85 HIGH ST
MEDFORD, MA 02155

Middlesex County (781) 396-4770

NICOLE LYN SCOURAS FNP

Nurse Practitioner (Family)

85 HIGH ST
MEDFORD, MA 02155

Middlesex County (781) 396-4770

JENNIFER AHONEN CRANE CNP, RN

Nurse Practitioner

85 HIGH ST
MEDFORD, MA 02155

Middlesex County (781) 396-4770

MEHRI POURSHADI

Pharmacist

85 HIGH ST
MEDFORD, MA 02155

Middlesex County (781) 396-4770

DR. ANNA WU RPH

Pharmacist

85 HIGH ST
MEDFORD, MA 02155

Middlesex County (781) 396-4770

VICTORIA MCDERMOTT NP

Nurse Practitioner (Family)

85 HIGH ST
MEDFORD, MA 02155

Middlesex County (781) 396-4770

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 Emmanuel Agbottah's NPI number?

The NPI number for Emmanuel Agbottah is 1376977199. It was assigned to this individual provider in the NPPES registry on August 28, 2013.

Where is Emmanuel Agbottah located?

Emmanuel Agbottah practices at 85 High St, Medford, MA 02155. The listed phone number is (781) 396-4770.

What is Emmanuel Agbottah's specialty?

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

Is Emmanuel Agbottah enrolled in Medicare?

Yes. Emmanuel Agbottah 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 Emmanuel Agbottah accept?

Health plans from Ambetter from Arizona Complete Health list Emmanuel Agbottah 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.

When was this NPI record last updated?

The NPPES record for Emmanuel Agbottah was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.