Individual provider Active NPI

Angela Ngozi Ikeri, DNP, FNP-C, CWOCN

  • Family Nurse Practitioner
  • St Paul, MN
National Provider Identifier
1982945937
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7770 Issued in MN
Practice address
United Hospital
333 North Smith Ave
St Paul, MN 55102
Phone
(651) 241-8000
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Continence Care Registered Nurse 163WC2100X R 153752-7 MN
Home Health Registered Nurse 163WH0200X R 153752-7 MN
Rehabilitation Registered Nurse 163WR0400X R 153752-7 MN
Wound Care Registered Nurse 163WW0000X R 153752-7 MN
Ostomy Care Registered Nurse 163WX1500X R 153752-7 MN
Family Nurse Practitioner 363LF0000X 7770 MN Primary

Addresses

Primary practice location

United Hospital
333 North Smith Ave
St Paul, MN 55102

Mailing address

66 Kipling St
Saint Paul, MN 55119-5043
Phone (651) 414-9102

Other practice location 1

66 Kipling St
Saint Paul, MN 55119-5043
Phone (651) 341-2605

Other identifiers 2

IdentifierTypeStateIssuer
F08200840MedicaidMN
1982945937MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aikeri30767@excellian.direct.allina.com Direct

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
I20201221002375 MN Practitioner - Nurse Practitioner 5092127712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
59.96 of 100Reported as group
Quality
79.07
Promoting interoperability
0
Improvement activities
20
Cost
62.47

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R 153752-7MNMDWound Care Registered Nurse
7770MNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Integrated Wound Care Minnesota PLLC CurrentSince Nov 19, 2023 Accepting new patients
Richangel Care Incorporated CurrentSince Jul 25, 2019 Accepting new patients
Allina Health System CurrentSince Jan 30, 2021 Accepting new patients
Allina Health System Current Accepting new patients
Richangel Care Incorporated Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

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

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

8675 Valley Creek Rd
Woodbury, MN 55125
Phone (651) 241-3000

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

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

1617 E Division St
River Falls, WI 54022
Phone (715) 307-6600

Interoperability endpoints

  • Direct secure messaging: aikeri30767@excellian.direct.allina.com

Organizations & group practices 9

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": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1982945937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 KIPLING ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551195043",
            "telephone_number": "651-414-9102",
            "fax_number": "651-340-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNITED HOSPITAL",
            "address_2": "333 NORTH SMITH AVE",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-241-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Kipling St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551195043",
            "country_code": "US",
            "telephone_number": "651-341-2605",
            "fax_number": "651-714-9152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKERI",
        "first_name": "ANGELA",
        "middle_name": "NGOZI",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-C, CWOCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2021-03-18",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "MN",
            "license": "R 153752-7",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R 153752-7",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "MN",
            "license": "R 153752-7",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MN",
            "license": "R 153752-7",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "MN",
            "license": "R 153752-7",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F08200840",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982945937",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aikeri30767@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "310 Smith Ave N Ste 330",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551022383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Paul, MN

Sources for this page

Verify at the official NPI Registry.