PAMMELLA NGEFOR APRN
Accepted Insurance for NPI 1982911962
Nurse Practitioner - Psychiatric/Mental Health in Maumee, OH

Q: What managed care network types are accepted by this provider?

PAMMELLA NGEFOR APRN is enrolled across the following managed care network types: HMO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.

NPI Status: Active since September 11, 2010

Contact Information

1655 HOLLAND RD STE F
MAUMEE, OH
ZIP 43537
Phone: (833) 510-4357
Fax: (866) 460-2997

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with PAMMELLA NGEFOR APRN, a practicing nurse practitioner professional in Maumee, OH. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 59 individual coverage options managed by medical networks, including networks like Antidote Health Plan of Ohio, Inc., MedMutual, and Oscar Health Insurance. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

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Fitler by Network Type

Antidote Health Plan of Ohio, Inc.

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0020010

Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0020011

Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0030010

Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0030011

Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0010010

Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0020030

Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0020031

Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0030030

Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0030031

Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0010030

Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0020020

Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0020021

Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0030020

Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0030021

Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

31981OH0010020

MedMutual

Bronze $8,300 w/ Adult Dental ON-EX

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99969OH0080550

Bronze $8,300 w/ Virtual & Wellness ON-EX

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99969OH0080499

Bronze HSA $7,300 ON-EX

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99969OH0080498

Bronze Standard w/ Virtual & Wellness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99969OH0080500

Gold $1,000 w/ Adult Dental ON-EX

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99969OH0080546

Gold $1,000 w/ Virtual & Wellness ON-EX

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99969OH0080543

Gold $500 w/ Virtual & Wellness ON-EX

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99969OH0080545

Gold Standard w/ Virtual & Wellness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99969OH0080492

Silver $5,000 w/ Adult Dental ON-EX

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99969OH0080549

Silver $5,000 w/ Virtual & Wellness ON-EX

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99969OH0080548

Silver $5,800 w/ Virtual & Wellness ON-EX

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99969OH0080547

Silver Standard w/ Virtual & Wellness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99969OH0080496

Oscar Health Insurance

Bronze Classic 4700

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100024

Bronze Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100050

Bronze Elite + PCP Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100064

Bronze Simple Breathe Easy with Enhanced COPD Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100056

Bronze Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100057

Bronze Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100058

Gold Classic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100013

Gold Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100053

Gold Elite Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100035

Silver Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100052

Silver Elite Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100030

Silver Simple Breathe Easy with Enhanced COPD Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100061

Silver Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100060

Silver Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100062

Silver Simple PCP Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100025

Silver Simple Women's Health with Menopause Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100063

Oscar Insurance Corporation of Ohio

Bronze Classic PCP Saver | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100002

Bronze Classic Standard | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100050

Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100055

Bronze Simple Chronic Care CKM | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100056

Bronze Simple Diabetes | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100057

Bronze Simple HSA | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100014

Gold Classic Standard | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100053

Gold Elite | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100036

Gold Elite Saver Plus | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100035

Silver Classic Standard | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100052

Silver Elite Saver Plus | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100030

Silver Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100059

Silver Simple Chronic Care CKM | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100060

Silver Simple Diabetes | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100045

Silver Simple PCP Saver | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100025

Silver Simple Women's Health with Menopause Benefits | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100061

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does PAMMELLA NGEFOR APRN accept?

This provider accepts health insurance plans managed by the following insurance companies: Antidote Health Plan of Ohio, Inc., MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

PAMMELLA NGEFOR APRN is enrolled across the following managed care network types: HMO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.