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MR. MICHAEL OTIBU ABOAGYE
NPI 1538448501
Nurse Practitioner in Miller Place, NY

Active since August 09, 2011PECOS EnrolledAccepts Medicare Assignment
33 INDEPENDENCE WAY, MILLER PLACE, NY 11764(646) 420-4475 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 30, 2020, Feb 10, 2020 (2 updates tracked since 2020).

About Mr. Michael Otibu Aboagye NPPES

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

MR. MICHAEL OTIBU ABOAGYE (NPI 1538448501) is an individual nurse practitioner in Miller Place, New York, licensed in New York (345351) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1538448501
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. MICHAEL OTIBU ABOAGYE
Location Address33 INDEPENDENCE WAYMiller Place, NY 11764-2337
Mailing Address77 Waverly Ave, Apartment 118Patchogue, NY 11772-2188 · (646) 420-4475
Phone(646) 420-4475
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 9, 2011
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
✔ NPI 1538448501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 345351
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 649259 (NY)
33 INDEPENDENCE WAY, Miller Place, NY 11764
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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. Michael Otibu Aboagye 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 ID4385075696
PECOS Enrollment IDI20200520001365
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.

Hospital Affiliations CMS Care Compare

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11764 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Michael Aboagye's NPI number?

The NPI number for Michael Aboagye is 1538448501. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is Michael Aboagye located?

Michael Aboagye practices at 33 Independence Way, Miller Place, NY 11764. The listed phone number is (646) 420-4475.

What is Michael Aboagye's specialty?

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

Is Michael Aboagye enrolled in Medicare?

Yes. Michael Aboagye 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.

Is Michael Aboagye affiliated with any hospitals?

According to CMS data, Michael Aboagye is affiliated with John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Michael Aboagye was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.