Active NPI
Michaelina Afi Bamah, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Rogers, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 7827
- Practice address
- 12817 Main St
Rogers, MN 55374-9474 - Phone
- (612) 488-6601
- Fax
- (612) 488-6402
- NPI assigned
- Aug 18, 2020
- Last updated
- Aug 15, 2025
- 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 Nurse Practitioner | 363LP0808X | 7827 | MN | Primary |
Addresses
Primary practice location
12817 Main St
Rogers, MN 55374-9474
Mailing address
21897 S Diamond Lake Rd
Rogers, MN 55374-4642
Phone (612) 488-6601
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
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11670 Fountains Dr
Suite 200
Maple Grove, MN 55369-7195
Phone (612) 488-6601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7827 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Sujit R Varma Inc | Current | Accepting new patients | |
| Btwins Mental Health PSC | Current | Accepting new patients | |
| Advanced Brain and Body Clinic PLLC | Current | Accepting new patients |
Locations
11670 Fountains Dr N
Ste 200
Maple Grove, MN 55369
Phone (612) 355-0693
4444 W 76th St
Ste 400
Minneapolis, MN 55435
Phone (612) 746-7347
13911 Ridgedale Dr
Ste 110
Minnetonka, MN 55305
Phone (605) 348-8000
12817 Main St
Rogers, MN 55374
Phone (612) 488-6601
21897 S Diamond Lake Rd
Ste 400
Rogers, MN 55374
636 Saint Anne St
Rapid City, SD 57701
Phone (605) 348-8000
Interoperability endpoints
- https://api.platform.athenahealth.com/21285/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Rogers, MN
- NPI 1437981164
-
- Specialist
- Golden Valley, MN
- NPI 1447816632
-
- Psychiatry Physician
- Edina, MN
- NPI 1194098053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1396357786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21897 S DIAMOND LAKE RD",
"city": "ROGERS",
"state": "MN",
"postal_code": "553744642",
"telephone_number": "612-488-6601",
"fax_number": "612-488-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12817 MAIN ST",
"city": "ROGERS",
"state": "MN",
"postal_code": "553749474",
"telephone_number": "612-488-6601",
"fax_number": "612-488-6402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMAH",
"first_name": "MICHAELINA",
"middle_name": "AFI",
"name_prefix": "Ms.",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "7827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.