UHUNOMA LYSA OSADOLOR
NPI 1295314391
Nurse Practitioner - Psychiatric/Mental Health in Golden Valley, MN

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
1710 DOUGLAS DR N STE 204, GOLDEN VALLEY, MN 55422(612) 584-9629 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2026, Mar 31, 2025, Aug 17, 2021 and 2 more (5 updates tracked since 2021).

About Uhunoma Lysa Osadolor NPPES

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

UHUNOMA LYSA OSADOLOR (NPI 1295314391) is an individual psychiatric/mental health provider in Golden Valley, Minnesota, licensed in Minnesota (8149) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295314391
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameUHUNOMA LYSA OSADOLOR
Location Address1710 DOUGLAS DR N STE 204Golden Valley, MN 55422-4387
Mailing Address1710 Douglas Dr N Ste 204Golden Valley, MN 55422-4387
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 6, 2021
Last NPPES UpdateMarch 18, 20265 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
NPI 1295314391 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 · 8149
1710 DOUGLAS DR N STE 204, Golden Valley, MN 55422

Accepted 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

Uhunoma Lysa Osadolor 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 ID3173925823
PECOS Enrollment IDI20210716002533
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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 2

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

Home Health
1710 DOUGLAS DR N STE 204
GOLDEN VALLEY, MN 55422
Clinic/Center (Adult Mental Health)
1710 DOUGLAS DR N STE 204
GOLDEN VALLEY, MN 55422

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 Uhunoma Osadolor's NPI number?

The NPI number for Uhunoma Osadolor is 1295314391. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Uhunoma Osadolor located?

Uhunoma Osadolor practices at 1710 Douglas Dr N Ste 204, Golden Valley, MN 55422. The listed phone number is (612) 584-9629.

What is Uhunoma Osadolor's specialty?

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

Is Uhunoma Osadolor enrolled in Medicare?

Yes. Uhunoma Osadolor 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 Uhunoma Osadolor accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas, HealthPartners, Medica and Oscar Insurance Company and 1 other insurer list Uhunoma Osadolor 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 Uhunoma Osadolor was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.