YAUKPALA INA GOFAN DNP, AGNP-C, CCRN
NPI 1912408915
Nurse Practitioner - Gerontology in Detroit, MI

Active since February 24, 2018PECOS Enrolled
4100 JOHN R ST, DETROIT, MI 48201(248) 581-5834(248) 581-5635 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 21, 2019, Jul 29, 2019, Mar 27, 2018 and 2 more (5 updates tracked since 2018).

About Yaukpala Ina Gofan Dnp, Agnp-c, Ccrn NPPES

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

YAUKPALA INA GOFAN DNP, AGNP-C, CCRN (NPI 1912408915) is an individual gerontology provider in Detroit, Michigan, licensed in Michigan (4704200810) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Farmington Hills.

NPPES Registry Identity

NPI1912408915
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameYAUKPALA INA GOFANCredential: DNP, AGNP-C, CCRN
Location Address4100 JOHN R STDetroit, MI 48201-2013
Mailing Address29490 Mcdonnell CtSouthfield, MI 48076-1707 · (248) 766-2747
Fax(248) 581-5635
Sole ProprietorNo
Enumeration DateFebruary 24, 2018
Last NPPES UpdateNovember 21, 20195 updates tracked since enumeration
NPI 1912408915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MI · 4704200810
4100 JOHN R ST, Detroit, MI 48201

Other Names 1

Other Name (5)Yau I Gofan Dnp, Agnp-c, Ccrn

Secondary Practice Location 1

Location 128050 Grand River AveFarmington Hills, MI 48336-5919 · Phone (248) 471-5000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Yaukpala Ina Gofan Dnp, Agnp-c, Ccrn 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 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

Pharmacy (Community/Retail Pharmacy)
4100 JOHN R ST, SUITE HP00RX
DETROIT, MI 48201
General Acute Care Hospital
4100 JOHN R ST
DETROIT, MI 48201
Internal Medicine (Medical Oncology)
4100 JOHN R ST
DETROIT, MI 48201
Nurse Practitioner
4100 JOHN R ST
DETROIT, MI 48201
Speech-Language Pathologist
4100 JOHN R ST
DETROIT, MI 48201
Nurse Practitioner (Acute Care)
4100 JOHN R ST
DETROIT, MI 48201
Pharmacist
4100 JOHN R ST
DETROIT, MI 48201
Pharmacist (Oncology)
4100 JOHN R ST
DETROIT, MI 48201

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 Yaukpala Gofan's NPI number?

The NPI number for Yaukpala Gofan is 1912408915. It was assigned to this individual provider in the NPPES registry on February 24, 2018. The provider is also known as Yau I Gofan Dnp, Agnp-C, Ccrn.

Where is Yaukpala Gofan located?

Yaukpala Gofan practices at 4100 John R St, Detroit, MI 48201. The listed phone number is (248) 581-5834.

What is Yaukpala Gofan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Yaukpala Gofan enrolled in Medicare?

Yes. Yaukpala Gofan is registered in the Medicare PECOS enrollment system.

What insurance does Yaukpala Gofan accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Yaukpala Gofan 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 Yaukpala Gofan was last updated on November 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.