Evon Oteh

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R42881 Issued in ND

Practice address

1214 27TH Ave W
West Fargo, ND 58078-8558

Phone

(701) 213-2670

NPI assigned

Jan 2, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PSJ Acquisition LLC

  • Psychiatric Hospital
  • Fargo, ND
  • NPI 1679709802
  Medicare reassignment NPD
• PSJ Acquisition LLC

  • Psychologist
  • Fargo, ND
  • NPI 1720454267
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1063221257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 27TH AVE W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 27TH AVE W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788558",
            "telephone_number": "701-213-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTEH",
        "first_name": "EVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R42881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Olson, DC
• Shannon Olson, ATC
• Deline Omer
• Optimal Chiropractic PLLC
• Trisha L Oss, PHARMD
• Kelsey Ott, NCSP
• Marce J Otterson, DPT
• Judy Papenfuss
• Keith Papenfuss
• Paramount Care Solutions LLC

• Family Nurse Practitioner in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.