Individual provider Active NPI

Favorgrace Nagbe

  • Psychiatric/Mental Health Registered Nurse
  • Brooklyn Center, MN
National Provider Identifier
1285562843
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
2487015 Issued in MN
Practice address
6160 Summit Dr N Ste 231
Brooklyn Center, MN 55430-2118
Phone
(612) 570-0747
NPI assigned
May 12, 2026
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 2487015 MN Primary

Addresses

Primary practice location

6160 Summit Dr N Ste 231
Brooklyn Center, MN 55430-2118

Mailing address

6160 Summit Dr N Ste 231
Brooklyn Center, MN 55430-2118
Phone (612) 570-0747

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2487015MNMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Favorgrace Wellness Clinic CurrentSince Jul 22, 2025 Accepting new patients

Locations

6160 Summit Dr N
Ste 231
Brooklyn Center, MN 55430
Phone (612) 364-2297

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1285562843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 SUMMIT DR N STE 231",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302118",
            "telephone_number": "612-570-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 SUMMIT DR N STE 231",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302118",
            "telephone_number": "612-570-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGBE",
        "first_name": "FAVORGRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2487015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.