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EVON OTEH
NPI 1063221257
Nurse Practitioner - Family in West Fargo, ND

Active since January 02, 2025PECOS Enrolled
1214 27TH AVE W, WEST FARGO, ND 58078(701) 213-2670 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Evon Oteh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVON OTEH (NPI 1063221257) is an individual family provider in West Fargo, North Dakota, licensed in North Dakota (R42881) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063221257
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEVON OTEH
Location Address1214 27TH AVE WWest Fargo, ND 58078-8558
Mailing Address1214 27th Ave WWest Fargo, ND 58078-8558
Phone(701) 213-2670
Sole ProprietorNo
Enumeration DateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1063221257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ND · R42881
1214 27TH AVE W, West Fargo, ND 58078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evon Oteh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Evon Oteh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psj Acquisition LLC
6.8 mi
Psychologist
510 4TH ST S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • 65 clinicians in this Medicare group
NPI 1720454267 (701) 476-7800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58078 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

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 Evon Oteh's NPI number?

The NPI number for Evon Oteh is 1063221257. It was assigned to this individual provider in the NPPES registry on January 2, 2025.

Where is Evon Oteh located?

Evon Oteh practices at 1214 27th Ave W, West Fargo, ND 58078. The listed phone number is (701) 213-2670.

What is Evon Oteh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Evon Oteh enrolled in Medicare?

Yes. Evon Oteh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Evon Oteh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evon Oteh reassigns Medicare benefits to Psj Acquisition LLC (Fargo, ND). The 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 Evon Oteh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evon Oteh accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Evon Oteh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evon Oteh was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.