Individual provider Active NPI

Komassa Reed-Ngungkpan, APRN CNP-PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Otsego, MN
National Provider Identifier
1831006592
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14623 Issued in MN
Practice address
7235 Palmgren Ave NE
Otsego, MN 55330-2291
Phone
(763) 898-6370
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14623 MN Primary

Addresses

Primary practice location

7235 Palmgren Ave NE
Otsego, MN 55330-2291

Mailing address

7235 Palmgren Ave NE
Otsego, MN 55330-2291
Phone (763) 898-6370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1831006592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 PALMGREN AVE NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553302291",
            "telephone_number": "763-898-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 PALMGREN AVE NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553302291",
            "telephone_number": "763-898-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED-NGUNGKPAN",
        "first_name": "KOMASSA",
        "credential": "APRN CNP-PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "14623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otsego, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.