Active NPI
Favorgrace Nagbe
- Psychiatric/Mental Health Registered Nurse
- Brooklyn Center, MN
National Provider Identifier
1285562843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 2487015
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2487015 | MN | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Favorgrace Wellness Clinic | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn Center, MN
- NPI 1114818341
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.