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AZIE JUDITH KHAN
NPI 1265012629
Nurse Practitioner - Psychiatric/Mental Health in Forest Lake, MN

Active since April 10, 2021PECOS EnrolledAccepts Medicare Assignment
7211 208TH CIR N, FOREST LAKE, MN 55025(515) 918-3955 Get Directions Write a Review

NPPES record last updated: April 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Azie Judith Khan NPPES

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

AZIE JUDITH KHAN (NPI 1265012629) is an individual psychiatric/mental health provider in Forest Lake, Minnesota, licensed in Minnesota (8079) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265012629
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAZIE JUDITH KHAN
Location Address7211 208TH CIR NForest Lake, MN 55025-2903
Mailing Address7211 208th Cir NForest Lake, MN 55025-2903 · (515) 918-3955
Phone(515) 918-3955
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 10, 2021
NPPES CertifiedApril 10, 2021
✔ NPI 1265012629 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 · 8079
7211 208TH CIR N, Forest Lake, MN 55025
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Azie Judith Khan 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 ID1557769858
PECOS Enrollment IDI20211015002568
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 Reassignments

8

Medicare enrollment records show Azie Khan reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
2.4 mi
Clinic/Center
20 LAKE ST N, STE 210
Forest Lake, MN 55025
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1386872281 (612) 672-6999
Fairview Health Services
5.3 mi
General Acute Care Hospital
5200 FAIRVIEW BLVD
Wyoming, MN 55092
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1083692941 (651) 982-7000
Healtheast Medical Research Institute
13 mi
Clinic/Center
1055 CENTERVILLE CIR
Vadnais Heights, MN 55127
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
NPI 1639125503 (651) 326-5900
Healtheast St. John's Hospital
16 mi
General Acute Care Hospital
1575 BEAM AVE
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
NPI 1447218482 (651) 232-7000
Nystrom & Associates, Ltd
17 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566
Transformation House, Inc.
18 mi
Substance Abuse Rehabilitation Facility
361 74TH AVE NE
Fridley, MN 55432
  • Reassigned Medicare billing, Minnesota enrollment
  • 13 clinicians in this Medicare group
NPI 1376950469 (763) 427-7155
Shalom Mental Health Services
20 mi
Mental Health (Including Community Mental Health Center)
3751 RIDGE AVE
Anoka, MN 55303
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1154179778 (515) 918-3955
Healtheast Woodwinds Hospital
23 mi
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group
NPI 1356309322 (651) 232-0100

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
148 services46 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
54 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55025 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.

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 Azie Khan's NPI number?

The NPI number for Azie Khan is 1265012629. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Where is Azie Khan located?

Azie Khan practices at 7211 208th Cir N, Forest Lake, MN 55025. The listed phone number is (515) 918-3955.

What is Azie Khan's specialty?

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

Is Azie Khan enrolled in Medicare?

Yes. Azie Khan 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 organizations bill Medicare for Azie Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Azie Khan reassigns Medicare benefits to 8 organizations: Fairview Express Care (Forest Lake, MN), Fairview Health Services (Wyoming, MN), Healtheast Medical Research Institute (Vadnais Heights, MN), Healtheast St. John's Hospital (Maplewood, MN), Nystrom & Associates, Ltd (New Brighton, MN) and 3 more organizations, listed in the Medicare section above. Each 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 Azie Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Azie Khan accept?

Health plans from HealthPartners list Azie Khan 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 Azie Khan was last updated on April 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.