OSETOHAMEN ELIZABETH AGENE CNP
NPI 1225673411
Nurse Practitioner - Psychiatric/Mental Health in Minneapolis, MN

Active since November 12, 2019PECOS EnrolledAccepts Medicare Assignment
5727 BROOKLYN BLVD, MINNEAPOLIS, MN 55429(763) 202-6150(763) 205-5878 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2026, May 14, 2026, May 4, 2026 and 3 more (6 updates tracked since 2019).

About Osetohamen Elizabeth Agene Cnp NPPES

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

OSETOHAMEN ELIZABETH AGENE CNP (NPI 1225673411) is an individual psychiatric/mental health provider in Minneapolis, Minnesota, licensed in Minnesota (8073) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225673411
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOSETOHAMEN ELIZABETH AGENECredential: CNP
Location Address5727 BROOKLYN BLVDMinneapolis, MN 55429-3057
Mailing Address5727 Brooklyn BlvdMinneapolis, MN 55429-3057 · (763) 202-6150 · Fax (763) 205-5878
Fax(763) 205-5878
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 12, 2019
Last NPPES UpdateMay 18, 20266 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1225673411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · 8073
5727 BROOKLYN BLVD, Minneapolis, MN 55429

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

Osetohamen Elizabeth Agene Cnp 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 ID9830663715
PECOS Enrollment IDI20260701002594
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 Osetohamen Agene reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
5727 BROOKLYN BLVD
Brooklyn Center, MN 55429
  • Reassigned Medicare billing, Minnesota enrollment

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 55429 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
5727 BROOKLYN BLVD
BROOKLYN CENTER, MN 55429
Registered Nurse (Home Health)
5727 BROOKLYN BLVD
BROOKLYN CENTER, MN 55429
Registered Nurse (Home Health)
5727 BROOKLYN BLVD
BROOKLYN CENTER, MN 55429

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 Osetohamen Agene's NPI number?

The NPI number for Osetohamen Agene is 1225673411. It was assigned to this individual provider in the NPPES registry on November 12, 2019.

Where is Osetohamen Agene located?

Osetohamen Agene practices at 5727 Brooklyn Blvd, Minneapolis, MN 55429. The listed phone number is (763) 202-6150.

What is Osetohamen Agene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Osetohamen Agene enrolled in Medicare?

Yes. Osetohamen Agene 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 organization bills Medicare for Osetohamen Agene's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Osetohamen Agene reassigns Medicare benefits to Bright And Associates LLC (Brooklyn Center, MN). 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 Osetohamen Agene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Osetohamen Agene was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.