Tivere Okrakene

Individual provider Active NPI Registered Nurse · Albertville, MN

NPI 1174469563 · NPPES record last updated Apr 27, 2026

Key facts

NPI
1174469563
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
2473419 (MN)
Practice address
10625 48TH St NE
Albertville, MN 55301-4711
Phone
(763) 398-9105
NPI assigned
Apr 27, 2026
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2473419MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Health Services LLC Current
since Feb 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2473419 MN Yes

Addresses

Primary practice location

10625 48TH St NE
Albertville, MN 55301-4711

Mailing address

10625 48TH St NE
Albertville, MN 55301-4711
Phone (763) 398-9105

Other providers in Albertville, MN

All providers in Albertville, MN · Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.