PAUL AGBOR NAENGE MSN, APRN - NPI 1972018364 - Nurse Practitioner in Fayetteville, GA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Paul Agbor Naenge Msn, Aprn NPPES

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

PAUL AGBOR NAENGE MSN, APRN (NPI 1972018364) is an individual family provider in Fayetteville, Georgia, licensed in Georgia (RN234959) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972018364

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NamePAUL AGBOR NAENGECredential: MSN, APRN

Location Address105 CARNEGIE PL STE 103Fayetteville, GA 30214-5900

Mailing Address1632 Hamilton CtRedlands, CA 92374-4757

Phone(770) 716-7999

Fax(770) 716-8444

Sole ProprietorYes

Enumeration DateDecember 6, 2017

Last NPPES UpdateMay 9, 20243 updates tracked since enumeration

NPPES CertifiedMay 9, 2024

✔ NPI 1972018364 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

Licenses✔ Licensed in GA · RN234959✔ Licensed in CA · 95008309

105 CARNEGIE PL STE 103, Fayetteville, GA 30214

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Other Identifiers 4

Other95008309CA · State Medical License

OtherAPRN11018999FL · State Medical License

Other2023021736MO · State Medical License

Other82362KS · State Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Agbor Naenge Msn, Aprn 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 30214 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 8

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

BRITTNEY MILLER FNP-C

Nurse Practitioner (Family)