Active NPI
Janet M Obonyo, NP
- Nurse Practitioner
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7876
- Practice address
- 4730 Chicago Ave
Ms 26602G
Minneapolis, MN 55407-3570 - Phone
- (952) 883-6805
- Fax
- (952) 853-8864
- NPI assigned
- Mar 12, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 7876 | MN | Primary |
Addresses
Primary practice location
4730 Chicago Ave
Ms 26602G
Minneapolis, MN 55407-3570
Mailing address
8170 33Rd Ave S
Ms 21110Q
Bloomington, MN 55425-4516
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of North Dakota School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2945 Lincoln Dr
Roseville, MN 55113-1338
Phone (651) 631-6570
8526 152ND Cir NW
Ramsey, MN 55303-7125
Phone (763) 898-2157
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
Hospital & facility affiliations
- Healthpartners Hospice and Palliatice Care
- Brighton Hospice
- M Health Fairview University of MN Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Riverview Health Center LLC | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Rapid Physician Services | Nurse Practitioner | Current | Accepting new patients |
| Stat Physicians Services | Current | Accepting new patients | |
| Twin Cities Recuperative Services LLC | Past | Accepting new patients | |
| Precious Partners Homecare LLC | Past | Accepting new patients |
Locations
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
4730 Chicago Ave
#26602G
Minneapolis, MN 55407
Phone (952) 883-6805
3809 42nd Ave S
Minneapolis, MN 55406
Phone (612) 407-7213
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Non-Surgical Family Planning Clinic/Center
- Minneapolis, MN
- NPI 1831913979
-
- Home Health Agency
- Coon Rapids, MN
- NPI 1972398642
-
- Rehabilitation Clinic/Center
- Roseville, MN
- NPI 1801517230
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Family Medicine Physician
- Ramsey, MN
- NPI 1275407017
-
- Home Health Agency
- Minneapolis, MN
- NPI 1699236737
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- St Louis Park, MN
- NPI 1891118931
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- Community Based Hospice Care Agency
- Bloomington, MN
- NPI 1871534628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1316522162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"address_2": "MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 CHICAGO AVE",
"address_2": "MS 26602G",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073570",
"telephone_number": "952-883-6805",
"fax_number": "952-853-8864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBONYO",
"first_name": "JANET",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-12",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "7876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.