MR. RAPHAEL OMOTO CNP
NPI 1245939495
Nurse Practitioner - Psychiatric/Mental Health in Minneapolis, MN
About Mr. Raphael Omoto Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RAPHAEL OMOTO CNP (NPI 1245939495) is an individual psychiatric/mental health provider in Minneapolis, Minnesota, licensed in Minnesota (9968) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Mr. Raphael Omoto 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.
Medicare Billing Reassignment
Medicare enrollment records show Raphael Omoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55407
- Reassigned Medicare billing, Minnesota enrollment
- 192 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55407
MINNEAPOLIS, MN 55407
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 Raphael Omoto's NPI number?
The NPI number for Raphael Omoto is 1245939495. It was assigned to this individual provider in the NPPES registry on February 27, 2023. The provider is also known as Mr. Raphael Omoto Cnp.
Where is Raphael Omoto located?
Raphael Omoto practices at 2215 E Lake St, Minneapolis, MN 55407. The listed phone number is (612) 596-9438.
What is Raphael Omoto's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Raphael Omoto enrolled in Medicare?
Yes. Raphael Omoto 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 Raphael Omoto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raphael Omoto reassigns Medicare benefits to Hennepin County (Minneapolis, 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 Raphael Omoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raphael Omoto accept?
Health plans from HealthPartners list Raphael Omoto 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 Raphael Omoto was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Raphael Omoto, CNP · NPI 1245939495
Psychiatric/Mental Health physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since February 27, 2023.
## Identity
- **NPI:** 1245939495 (Entity type: Individual)
- **Enumerated:** February 27, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 9968 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2215 E LAKE ST, Minneapolis, MN 55407-4385
- **Phone:** (612) 596-9438
## 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:** Hennepin County (NPI 1780790345, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245939495) · Data from the CMS NPPES public registry.