Ufuoma Peace Otebele, MSN, RN, PMHNP-BC - Medicare Nurse Practitioner in St Louis Park, MN

  1. Home
  2. Nurse Practitioner
  3. MN
  4. St Louis Park
Ufuoma Peace Otebele, MSN, RN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in St Louis Park, Minnesota. Her current practice location is 1155 Ford Rd Ste B, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 378-1800.

Ufuoma Peace Otebele is licensed to practice in Minnesota (license number 10258) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649961145.

Contact Information

Ufuoma Peace Otebele, MSN, RN, PMHNP-BC
1155 Ford Rd Ste B,
St Louis Park, MN 55426-1115
(952) 378-1800
(952) 378-1714

Map and Direction




Provider's Profile

Full NameUfuoma Peace Otebele
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1155 Ford Rd Ste B, St Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649961145
  • Provider Enumeration Date: 05/16/2023
  • Last Update Date: 05/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941668800
  • Enrollment ID: I20230626000244

Medical Identifiers

Medical identifiers for Ufuoma Peace Otebele such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649961145NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2480590 (Minnesota)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 10258 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ufuoma Peace Otebele allows following entities to bill medicare on her behalf.
Entity NameAssociated Clinic Of Psychology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588741292
PECOS PAC ID: 0749171320
Enrollment ID: O20040323000833

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ufuoma Peace Otebele is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ufuoma Peace Otebele, MSN, RN, PMHNP-BC
4240 Park Glen Rd,
St Louis Park, MN 55416-5427

Ph: (612) 925-6033		Ufuoma Peace Otebele, MSN, RN, PMHNP-BC
1155 Ford Rd Ste B,
St Louis Park, MN 55426-1115

Ph: (952) 378-1800

Reviews and Comments


Nurse Practitioner Nurses in St Louis Park, MN

Camille Ashley Schwarzrock, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426
Phone: 952-993-3230    Fax: 952-993-1748
Rachel Anderson, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4201 Excelsior Blvd, St Louis Park, MN 55416
Phone: 952-933-8900    
Haley Carlock, DNP, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1155 Ford Rd, Suite B, St Louis Park, MN 55426
Phone: 952-378-1800    Fax: 952-378-1714
Anna Lynn Johnson, APRN CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3246    Fax: 952-993-3010
Oluwasegun Paul David, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5775 Wayzata Blvd Fl 2, St Louis Park, MN 55416
Phone: 952-525-4500    
Tiffany Rae Krebsbach,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3246    
Dory L Neurock, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426
Phone: 952-993-3123    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.