Ngozi Miriam Ohaegbulem, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12123 Issued in MN

Practice address

625 Hayward Ave N
Oakdale, MN 55128-7127

Phone

(952) 234-0943

NPI assigned

Oct 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnesota Behavioral Health PLLCGroup PAC ID 7416311691, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Minnesota Behavioral Health PLLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Burnsville, MN
  • NPI 1912685132
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1407676604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7972 SPRING LAKE DR",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553798525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 HAYWARD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287127",
            "telephone_number": "952-234-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHAEGBULEM",
        "first_name": "NGOZI",
        "middle_name": "MIRIAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-12",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "12123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakdale Family Dentistry, Inc.
• Oakdale Optical
• Oakwinds Clinic of Chiropractic, P.a.
• Oakwood Chiropractic Clinic, Inc.
• Brittany Ogaard, DPT
• Joshua Charles Ohara
• Amanda Olson, MSW LICSW
• Aydarous Omar
• Opportunity Community Services Inc
• Optimal Brain MN, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.

Verify at the official NPI Registry.