IRENE ENJEMA EKOBENA NP
NPI 1255115473
Nurse Practitioner - Gerontology in Excelsior, MN

Q: What is Irene Ekobena's NPI number?

The NPI number for Irene Ekobena is 1255115473. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Q: What is Irene Ekobena's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Irene Ekobena was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since August 21, 2023PECOS EnrolledAccepts Medicare Assignment

464 2ND ST STE 204, EXCELSIOR, MN 55331(612) 787-8408(612) 567-8935 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 20, 2025, Aug 21, 2023 (2 updates tracked since 2023).

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About Irene Enjema Ekobena Np NPPES

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

IRENE ENJEMA EKOBENA NP (NPI 1255115473) is an individual gerontology provider in Excelsior, Minnesota, licensed in Minnesota (10642) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1255115473

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameIRENE ENJEMA EKOBENACredential: NP

Location Address464 2ND ST STE 204Excelsior, MN 55331-2015

Mailing Address464 2nd St Ste 204Excelsior, MN 55331-2015 · (612) 787-8408 · Fax (612) 567-8935

Phone(612) 787-8408

Fax(612) 567-8935

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 21, 2023

Last NPPES UpdateFebruary 20, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2025

✔ NPI 1255115473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MN · 10642

464 2ND ST STE 204, Excelsior, MN 55331

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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

Irene Enjema Ekobena Np 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 ID6103267117

PECOS Enrollment IDI20240508001809

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 Irene Ekobena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation Medicine Associates, LLC

Same address

Physical Medicine & Rehabilitation

464 2ND ST STE 204
Excelsior, MN 55331

Reassigned Medicare billing, Minnesota enrollment
13 clinicians in this Medicare group

NPI 1093103145 (312) 262-6434

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 4

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 straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

365 services133 patients

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.

316 services100 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

281 services131 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

142 services136 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55331 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 8

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

REHABILITATION MEDICINE ASSOCIATES, LLC

Physical Medicine & Rehabilitation