NPIMap

Individual provider Active NPI

Jeremiah Otaro Ongera, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1417550948
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12522 Issued in MN
Practice address
8500 50TH Ave N
Minneapolis, MN 55428-4117
Phone
(763) 843-2833
NPI assigned
Nov 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R-2299916 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12522 MN Primary

Addresses

Primary practice location

8500 50TH Ave N
Minneapolis, MN 55428-4117

Mailing address

PO Box 47021
Plymouth, MN 55447-0021
Phone (763) 843-2833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709001817 MN Practitioner - Nurse Practitioner 7416461736 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Health ServicesGroup PAC ID 1951213057, 677 clinicians

Practice addresses (Care Compare)

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-7838

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R-2299916MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Feb 26, 2026 Accepting new patients
Fairview Health Services CurrentSince Feb 26, 2026 Accepting new patients
Integrated Wound Care Minnesota PLLC CurrentSince May 30, 2025 Accepting new patients
First Choice Wellness PLLC Psychiatric/Mental Health CurrentSince Sep 3, 2025 Accepting new patients
Healtheast Medical Research Insititue CurrentSince Feb 26, 2026 Accepting new patients
Fairview Health Services CurrentSince Feb 26, 2026 Accepting new patients
Healtheast Medical Research Institute CurrentSince Feb 26, 2026 Accepting new patients
Fairview Express Care CurrentSince Feb 26, 2026 Accepting new patients

Locations

7700 Grand Ave
Duluth, MN 55807
Phone (218) 628-2341

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1417550948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47021",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554470021",
            "telephone_number": "763-843-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 50TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554284117",
            "telephone_number": "763-843-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONGERA",
        "first_name": "JEREMIAH",
        "middle_name": "OTARO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R-2299916",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "12522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.