MRS. OLITHA JAMESETTA FOFANA AGPCNP-BC
NPI 1013301407
Nurse Practitioner - Adult Health in Champlin, MN
About Mrs. Olitha Jamesetta Fofana Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. OLITHA JAMESETTA FOFANA AGPCNP-BC (NPI 1013301407) is an individual adult health provider in Champlin, Minnesota, licensed in Minnesota (CNP 3783) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of University Of South Alabama College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Olitha Jamesetta Fofana Agpcnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Olitha Fofana reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn Park, MN 55445
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Anoka, MN 55303
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Group Health Inc
- 2,274 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Minnesota enrollment
- 166 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55316 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Olitha Fofana's NPI number?
The NPI number for Olitha Fofana is 1013301407. It was assigned to this individual provider in the NPPES registry on March 24, 2015. The provider is also known as Olitha Jamesetta Collins.
Where is Olitha Fofana located?
Olitha Fofana practices at 10911 Rhode Island Cir N, Champlin, MN 55316. The listed phone number is (763) 493-2947.
What is Olitha Fofana's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Olitha Fofana enrolled in Medicare?
Yes. Olitha Fofana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Olitha Fofana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olitha Fofana reassigns Medicare benefits to 3 organizations: Park Nicollet Clinic (Brooklyn Park, MN), Group Health Plan, Inc. (Anoka, MN) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olitha Fofana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Olitha Fofana affiliated with any hospitals?
According to CMS data, Olitha Fofana is affiliated with Park Nicollet Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Olitha Fofana was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Olitha Jamesetta Fofana, AGPCNP-BC · NPI 1013301407
Adult Health physician in Champlin, Minnesota. Individual provider, active in the CMS NPPES registry since March 24, 2015.
## Identity
- **NPI:** 1013301407 (Entity type: Individual)
- **Enumerated:** March 24, 2015
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** CNP 3783 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 10911 RHODE ISLAND CIR N, Champlin, MN 55316-3256
- **Phone:** (763) 493-2947
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Park Nicollet Clinic (NPI 1447668678, Brooklyn Park, MN); Group Health Plan, Inc. (NPI 1962704346, Anoka, MN); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Alabama College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** March 24, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1013301407) · Data from the CMS NPPES public registry.