Individual provider Active NPI

Felicia C Ikebude

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1275957771
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022 Issued in MN
Practice address
701 Park Ave
Minneapolis, MN 55415-1623
Phone
(612) 873-2232
NPI assigned
Feb 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022 MN Primary
Family Nurse Practitioner 363LF0000X R-155858-0 MN

Addresses

Primary practice location

701 Park Ave
Minneapolis, MN 55415-1623

Mailing address

5712 162ND LN NW
Ramsey, MN 55303-3980
Phone (612) 267-0424

Other practice location 1

5939 Portland Ave
Minneapolis, MN 55417-3127
Phone (612) 869-4444

Other names 1

  • Felicia C Ikebude Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20140421001257 MN Practitioner - Nurse Practitioner 3870725146 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aeris Medical Group PLLCGroup PAC ID 0042624306, 26 clinicians
Diamond Lake Clinic, P.C.Group PAC ID 8022324664, 12 clinicians
Hennepin Healthcare System IncGroup PAC ID 4789684861, 905 clinicians

Practice addresses (Care Compare)

St Louis Park, MN 55416
Phone (914) 589-5503

5939 Portland Ave
Minneapolis, MN 55417-3127
Phone (612) 869-4444

640 3Rd St
Gaylord, MN 55334-2297
Phone (914) 589-5503

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

Hospital & facility affiliations

  • Hennepin County Medical Center Hospital, Minneapolis, MN, CCN 240004
  • Park Nicollet Methodist Hospital Hospital, Saint Louis Park, MN, CCN 240053

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
72.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
R-155858-0MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Total Health LLC Psychiatric/Mental Health CurrentSince Mar 5, 2025 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince May 5, 2014 Accepting new patients
Mental Health Specialty Group PA CurrentSince Mar 13, 2025 Accepting new patients
Hennepin Healthcare System Inc CurrentSince May 5, 2014 Accepting new patients
Diamond Lake Clinic, P.C. CurrentSince Jan 29, 2024 Accepting new patients
Hennepin Faculty Associates Past Accepting new patients

Locations

5939 Portland Ave
Minneapolis, MN 55417
Phone (612) 866-6100

729 Washington Ave N
Ste 600
Minneapolis, MN 55401
Phone (334) 463-3099

715 S 8th St
Minneapolis, MN 55404
Phone (612) 873-6010

7650 Zane Ave N
Minneapolis, MN 55443
Phone (612) 873-0000

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

1497 White Bear Ave N
Saint Paul, MN 55106
Phone (651) 605-5410

Interoperability endpoints

  • Direct secure messaging: felicia.ikebude.1@32670.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1275957771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 162ND LN NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553033980",
            "telephone_number": "612-267-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5939 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554173127",
            "country_code": "US",
            "telephone_number": "612-869-4444",
            "fax_number": "612-254-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKEBUDE",
        "first_name": "FELICIA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2022",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R-155858-0",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "IKEBUDE",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.