Individual provider Active NPI

Helen Wuraola Okelola

  • Family Nurse Practitioner
  • Brooklyn Center, MN
National Provider Identifier
1619550985
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8144 Issued in MN
Practice address
864 66TH Ave N
Brooklyn Center, MN 55430-1612
Phone
(763) 528-1711
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8144 MN Primary

Addresses

Primary practice location

864 66TH Ave N
Brooklyn Center, MN 55430-1612

Mailing address

864 66TH Ave N
Brooklyn Center, MN 55430-1612
Phone (763) 528-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220323001257 MN Practitioner - Nurse Practitioner 1759776008 Reassigns benefits to 1 organization
I20230425000794 TX Practitioner - Nurse Practitioner 1759776008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Falls Community Hospital and ClinicGroup PAC ID 8527959816, 17 clinicians

Practice addresses (Care Compare)

322 Coleman St
Marlin, TX 76661-2358
Phone (254) 803-3561

P O Box
Suite 60
Marlin, TX 76661-0060

PO Box
Suite 60
Marlin, TX 76661

Hospital & facility affiliations

  • Falls Community Hospital and Clinic Hospital, Marlin, TX, CCN 670780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8144MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Falls Community Hospital and Clinic CurrentSince Apr 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Falls Community Hospital and Clinic CurrentSince Apr 1, 2023 Accepting new patients

Locations

1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

322 Coleman St
Marlin, TX 76661
Phone 2548033561153

307 Live Oak St
Marlin, TX 76661
Phone (254) 803-3565

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1619550985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 66TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301612",
            "telephone_number": "763-528-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 66TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301612",
            "telephone_number": "763-528-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKELOLA",
        "first_name": "HELEN",
        "middle_name": "WURAOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

Verify at the official NPI Registry.