UHUNOMA LYSA OSADOLOR
NPI 1295314391
Nurse Practitioner - Psychiatric/Mental Health in Golden Valley, MN
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Uhunoma Osadolor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oakdale, MN 55128
- Reassigned Medicare billing, Minnesota enrollment
- 31 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 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.
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.
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.
Which organization bills Medicare for Uhunoma Osadolor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Uhunoma Osadolor reassigns Medicare benefits to Optimal Brain Mn, PLLC (Oakdale, 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 Uhunoma Osadolor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Uhunoma Osadolor accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Arizona, Inc and HealthPartners and 2 other insurers 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 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.
# Uhunoma Lysa Osadolor · NPI 1295314391
Psychiatric/Mental Health physician in Golden Valley, Minnesota. Individual provider, active in the CMS NPPES registry since April 6, 2021.
## Identity
- **NPI:** 1295314391 (Entity type: Individual)
- **Enumerated:** April 6, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 8149 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1710 DOUGLAS DR N STE 204, Golden Valley, MN 55422-4387
- **Phone:** (612) 584-9629
## 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:** Optimal Brain Mn, PLLC (NPI 1609614957, Oakdale, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295314391) · Data from the CMS NPPES public registry.