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ELIZABETH OMONMENE EROMOSELE APRN, PMHNP- BC
NPI 1316821689
Nurse Practitioner - Psychiatric/Mental Health in Woodbury, MN

Active since August 01, 2025PECOS Enrolled
213 PENDRYN HILL ALCOVE, WOODBURY, MN 55125(651) 587-7322 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth Omonmene Eromosele Aprn, Pmhnp- Bc NPPES

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

ELIZABETH OMONMENE EROMOSELE APRN, PMHNP- BC (NPI 1316821689) is an individual psychiatric/mental health provider in Woodbury, Minnesota, licensed in Minnesota (13164) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316821689
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELIZABETH OMONMENE EROMOSELECredential: APRN, PMHNP- BC
Location Address213 PENDRYN HILL ALCOVEWoodbury, MN 55125-7702
Mailing Address213 Pendryn Hill AlcoveWoodbury, MN 55125-7702 · (651) 587-7322
Phone(651) 587-7322
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 1, 2025
NPPES CertifiedJuly 4, 2025
✔ NPI 1316821689 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 · 13164
213 PENDRYN HILL ALCOVE, Woodbury, MN 55125
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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 (PECOS)

Elizabeth Omonmene Eromosele Aprn, Pmhnp- Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305304452
PECOS Enrollment IDI20260819000236
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 Elizabeth Eromosele reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gentle Caring Mind Healthcare LLC
27 mi
Clinic/Center
3833 COON RAPIDS BLVD NW STE 260
Coon Rapids, MN 55433
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1568243772 (651) 283-1185

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 55125 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 Elizabeth Eromosele's NPI number?

The NPI number for Elizabeth Eromosele is 1316821689. It was assigned to this individual provider in the NPPES registry on August 1, 2025.

Where is Elizabeth Eromosele located?

Elizabeth Eromosele practices at 213 Pendryn Hill Alcove, Woodbury, MN 55125. The listed phone number is (651) 587-7322.

What is Elizabeth Eromosele's specialty?

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

Is Elizabeth Eromosele enrolled in Medicare?

Yes. Elizabeth Eromosele is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Eromosele's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Eromosele reassigns Medicare benefits to Gentle Caring Mind Healthcare LLC (Coon Rapids, 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 Elizabeth Eromosele's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Eromosele was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.