ESEFERUO FAMATI DNP-PMHNP-BC, CNP
NPI 1396348371
Nurse Practitioner - Psychiatric/Mental Health in St Louis Park, MN

Active since November 20, 2020PECOS EnrolledAccepts Medicare Assignment
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 993-3123 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 29, 2021, May 24, 2021, Nov 20, 2020 (3 updates tracked since 2020).

About Eseferuo Famati Dnp-pmhnp-bc, Cnp NPPES

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

ESEFERUO FAMATI DNP-PMHNP-BC, CNP (NPI 1396348371) is an individual psychiatric/mental health provider in St Louis Park, Minnesota, licensed in Minnesota (7791) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396348371
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameESEFERUO FAMATICredential: DNP-PMHNP-BC, CNP
Location Address3800 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 20, 2020
Last NPPES UpdateNovember 29, 20213 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1396348371 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 · 7791
3800 PARK NICOLLET BLVD, St Louis Park, MN 55416

Secondary Practice Locations 2

Location 1827 Winterberry DrWoodbury, MN 55125-9121 · Phone (651) 434-2083
Location 25939 Portland AveMinneapolis, MN 55417-3127 · Phone (612) 869-4444 · Fax (612) 254-8244

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

Eseferuo Famati Dnp-pmhnp-bc, Cnp 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 ID8325442395
PECOS Enrollment IDI20210812003108
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 Eseferuo Famati reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
3800 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 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.

Areas of Expertise CMS Part B claims

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.
197 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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 20

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

Psychologist
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Physical Medicine & Rehabilitation
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3800 PARK NICOLLET BLVD
MINNEAPOLIS, MN 55416
Physician Assistant
3800 PARK NICOLLET BLVD, DEPARTMENT OF DERMATOLOGY
ST LOUIS PARK, MN 55416
Dermatology
3800 PARK NICOLLET BLVD, DERMATOLOGY 4TH FLOOR
ST LOUIS PARK, MN 55416
Psychologist (Clinical)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Dermatology
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Radiology (Diagnostic Radiology)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

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 Eseferuo Famati's NPI number?

The NPI number for Eseferuo Famati is 1396348371. It was assigned to this individual provider in the NPPES registry on November 20, 2020.

Where is Eseferuo Famati located?

Eseferuo Famati practices at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3123.

What is Eseferuo Famati's specialty?

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

Is Eseferuo Famati enrolled in Medicare?

Yes. Eseferuo Famati 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 Eseferuo Famati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eseferuo Famati reassigns Medicare benefits to Park Nicollet Clinic (St Louis Park, 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 Eseferuo Famati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eseferuo Famati accept?

Health plans from HealthPartners list Eseferuo Famati 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 Eseferuo Famati was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.