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MRS. OLITHA JAMESETTA FOFANA AGPCNP-BC
NPI 1013301407
Nurse Practitioner - Adult Health in Champlin, MN

Active since March 24, 2015PECOS EnrolledAccepts Medicare Assignment
10911 RHODE ISLAND CIR N, CHAMPLIN, MN 55316(763) 493-2947 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1013301407
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. OLITHA JAMESETTA FOFANACredential: AGPCNP-BC
Location Address10911 RHODE ISLAND CIR NChamplin, MN 55316-3256
Mailing Address10911 Rhode Island Cir NChamplin, MN 55316-3256 · (763) 493-2947
Phone(763) 493-2947
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2014
Enumeration DateMarch 24, 2015
✔ NPI 1013301407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MN · CNP 3783
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License CNP 3783 (MN)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License CNP 3783 (MN)
10911 RHODE ISLAND CIR N, Champlin, MN 55316
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Other Names 1

Former Name (1)Olitha Jamesetta Collins

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1254643349
PECOS Enrollment IDI20150701002832
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
97 services80 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
33 services29 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
16 services16 patients

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, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers14 claims14 services$41.80 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers49 claims49 services$14.14 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$29.02 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier19 claims19 services$7.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

IBRAHIM BANGALY FOFANA DRIVER
Driver
10911 RHODE ISLAND CIR N
CHAMPLIN, MN 55316
Hennepin County (763) 232-6365
IBF TRANSPORT LLC
Non-emergency Medical Transport (VAN)
10911 RHODE ISLAND CIR N
CHAMPLIN, MN 55316
Hennepin County (763) 232-6365

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.

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.