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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: August 09, 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
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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.