Individual provider Active NPI

Azeez Folorunsho Rufai, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Breckenridge, MN
National Provider Identifier
1992539274
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11293 Issued in MN
Practice address
2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone
(218) 643-3000
NPI assigned
Aug 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 11293 MN Primary

Addresses

Primary practice location

2400 St Francis Dr
Breckenridge, MN 56520-1025

Mailing address

2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone (320) 310-7580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 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
I20241014004156 MN Practitioner - Nurse Practitioner 6800328998 Reassigns benefits to 2 organizations
I20250214001552 ND Practitioner - Nurse Practitioner 6800328998 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Medical Center Current Accepting new patients
St. Francis Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Azsentia Health Psychiatric/Mental Health CurrentSince Jul 22, 2025 Accepting new patients
St Francis Medical Center CurrentSince Dec 1, 2024 Accepting new patients

Locations

3293 Solutions Ctr
Chicago, IL 60677

2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226

601 W Saint Germain St
Saint Cloud, MN 56301
Phone (218) 600-6474

Interoperability endpoints

  • Direct secure messaging: azeezrufai@normd.allscriptsdirect.net

Organizations & group practices 4

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1992539274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 ST FRANCIS DR",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201025",
            "telephone_number": "320-310-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ST FRANCIS DR",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201025",
            "telephone_number": "218-643-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFAI",
        "first_name": "AZEEZ",
        "middle_name": "FOLORUNSHO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, MN

Sources for this page

Verify at the official NPI Registry.