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THEOPHANIA OFORI BUAH AGPCNP
NPI 1992549430
Nurse Practitioner - Gerontology in Statesville, NC

Active since June 20, 2024PECOS EnrolledAccepts Medicare Assignment
557 BROOKDALE DR, STATESVILLE, NC 28677(704) 769-0823 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Theophania Ofori Buah Agpcnp NPPES

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

THEOPHANIA OFORI BUAH AGPCNP (NPI 1992549430) is an individual gerontology provider in Statesville, North Carolina, licensed in North Carolina (363LG0600X) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1992549430
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTHEOPHANIA OFORI BUAHCredential: AGPCNP
Location Address557 BROOKDALE DRStatesville, NC 28677-4107
Mailing Address300 Pompton RdWayne, NJ 07470-2103
Phone(704) 769-0823
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 20, 2024
NPPES CertifiedJune 20, 2024
✔ NPI 1992549430 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 NC · 363LG0600X
557 BROOKDALE DR, Statesville, NC 28677
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theophania Ofori Buah Agpcnp 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 ID8224561022
PECOS Enrollment IDI20241031004468, I20260303001885
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

3

Medicare enrollment records show Theophania Ofori Buah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Charlotte General And Vascular Surgery PLLC
49 mi
Surgery
13430 HOOVER CREEK BLVD STE 200
Charlotte, NC 28273
  • Reassigned Medicare billing, North Carolina enrollment
  • 4 clinicians in this Medicare group
NPI 1144524190 (704) 910-8380
Post Acute Specialists, LLC
572 mi
Internal Medicine
2255 MONARCH DR
Naperville, IL 60563
  • Reassigned Medicare billing, Connecticut, District of Columbia, North Carolina, New York, Tennessee and Virginia enrollments
  • 100 clinicians in this Medicare group
NPI 1114441565 (800) 411-6768
Vitalcare Health Services PC
1,710 mi
Urgent Care
3742 W 2150 N STE 150
Lehi, UT 84048
  • Reassigned Medicare billing, North Carolina enrollment
  • 18 clinicians in this Medicare group
NPI 1235954389 (844) 210-6186

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

IREDELL PHYSICIAN NETWORK LLC
Specialist
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
SHANNAN LAWRENCE
Physical Therapist
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
CECILIA KAECHELE NP
Nurse Practitioner (Adult Health)
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 997-5525
KAREN KAUFFMAN CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5561
BARBARA LEE THOMAS CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5561
IMH PROF INFECT DISEASE
Specialist
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
STACEY SCHLESINGER CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
SYLVIA SELF CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661

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 Theophania Ofori Buah's NPI number?

The NPI number for Theophania Ofori Buah is 1992549430. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Where is Theophania Ofori Buah located?

Theophania Ofori Buah practices at 557 Brookdale Dr, Statesville, NC 28677. The listed phone number is (704) 769-0823.

What is Theophania Ofori Buah's specialty?

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

Is Theophania Ofori Buah enrolled in Medicare?

Yes. Theophania Ofori Buah 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.

Which organizations bill Medicare for Theophania Ofori Buah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theophania Ofori Buah reassigns Medicare benefits to 3 organizations: South Charlotte General And Vascular Surgery PLLC (Charlotte, NC), Post Acute Specialists, LLC (Naperville, IL) and Vitalcare Health Services PC (Lehi, UT). 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 Theophania Ofori Buah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theophania Ofori Buah accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Theophania Ofori Buah 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 Theophania Ofori Buah was last updated on June 20, 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.