Individual provider Active NPI

Oksana Fedorovna Karpenko, CNP

  • Gerontology Nurse Practitioner
  • St Louis Park, MN
National Provider Identifier
1699541540
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11102 Issued in MN
Practice address
5320 W 23Rd St Ste 130
St Louis Park, MN 55416-1670
Phone
(952) 345-3310
Fax
(952) 345-8771
NPI assigned
Dec 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 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 2466327 MN
Gerontology Nurse Practitioner 363LG0600X 11102 MN Primary

Addresses

Primary practice location

5320 W 23Rd St Ste 130
St Louis Park, MN 55416-1670

Mailing address

5320 W 23Rd St Ste 130
St Louis Park, MN 55416-1670
Phone (952) 345-3310

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122002029 MN Practitioner - Nurse Practitioner 9032561402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Immunology Clinics PLLCGroup PAC ID 4486684438, 9 clinicians

Practice addresses (Care Compare)

15700 37TH Ave N
Suite 110
Plymouth, MN 55446-3399
Phone (763) 577-0008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2466327MNMDRegistered Nurse
11102MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespark Medical Group, PA Gerontology CurrentSince Jan 2, 2024 Accepting new patients
Midwest Immunology Clinics, PLLC CurrentSince May 19, 2025 Accepting new patients

Locations

15700 37th Ave N
Ste 230
Plymouth, MN 55446

15655 37th Ave N
Ste 250
Plymouth, MN 55446
Phone (763) 316-0750

15655 37th Ave N
Ste 260
Plymouth, MN 55446
Phone (763) 316-0750

15700 37th Ave N
Ste 110
Plymouth, MN 55446
Phone (763) 577-0008

5320 W 23rd St
Ste 130
St Louis Park, MN 55416
Phone (952) 345-3213

652 Bielenberg Dr
Ste 101
Woodbury, MN 55125
Phone (651) 867-1618

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: oksana.karpenko.1@15699.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1699541540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 W 23RD ST STE 130",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161670",
            "telephone_number": "952-345-3310",
            "fax_number": "952-345-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W 23RD ST STE 130",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161670",
            "telephone_number": "952-345-3310",
            "fax_number": "952-345-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARPENKO",
        "first_name": "OKSANA",
        "middle_name": "FEDOROVNA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2466327",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "11102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.