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AUSTIN AGBONIFO
NPI 1750927489
Nurse Practitioner - Psychiatric/Mental Health in Roxbury, MA

Active since November 18, 2019PECOS Enrolled
36 WESTMINSTER CT APT E36, ROXBURY, MA 02119(857) 498-4939 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Austin Agbonifo NPPES

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

AUSTIN AGBONIFO (NPI 1750927489) is an individual psychiatric/mental health provider in Roxbury, Massachusetts, licensed in Massachusetts (RN2312537) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1750927489
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameAUSTIN AGBONIFO
Location Address36 WESTMINSTER CT APT E36Roxbury, MA 02119-1192
Mailing Address36 Westminster Ct Apt E36Roxbury, MA 02119-1192 · (857) 498-4939
Phone(857) 498-4939
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 18, 2019
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1750927489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2312537
36 WESTMINSTER CT APT E36, Roxbury, MA 02119
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Austin Agbonifo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072929314
PECOS Enrollment IDI20210310002203
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Austin Agbonifo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Caring Clinic LLC
1.1 mi
Mental Health (Including Community Mental Health Center)
55 WARREN ST
Roxbury, MA 02119
  • Reassigned Medicare billing, Massachusetts enrollment
  • 15 clinicians in this Medicare group
NPI 1184112377 (617) 858-7880
Behavioral Health Network Inc
78 mi
Mental Health (Including Community Mental Health Center)
417 LIBERTY ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 211 clinicians in this Medicare group
NPI 1477582609 (413) 519-9495

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
264 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 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.

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 Austin Agbonifo's NPI number?

The NPI number for Austin Agbonifo is 1750927489. It was assigned to this individual provider in the NPPES registry on November 18, 2019.

Where is Austin Agbonifo located?

Austin Agbonifo practices at 36 Westminster Ct Apt E36, Roxbury, MA 02119. The listed phone number is (857) 498-4939.

What is Austin Agbonifo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Austin Agbonifo enrolled in Medicare?

Yes. Austin Agbonifo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Austin Agbonifo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Austin Agbonifo reassigns Medicare benefits to 2 organizations: Community Caring Clinic LLC (Roxbury, MA) and Behavioral Health Network Inc (Springfield, MA). Each 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 Austin Agbonifo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Austin Agbonifo accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Austin Agbonifo 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 Austin Agbonifo was last updated on January 29, 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.