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MICHAEL OMOMO
NPI 1427657139
Nurse Practitioner - Psychiatric/Mental Health in Edina, MN

Active since October 22, 2020PECOS EnrolledAccepts Medicare Assignment
7400 METRO BLVD STE 215, EDINA, MN 55439(631) 533-2990(651) 666-1396 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2026, Mar 17, 2026, Mar 13, 2026 and 4 more (7 updates tracked since 2020).

About Michael Omomo NPPES

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

MICHAEL OMOMO (NPI 1427657139) is an individual psychiatric/mental health provider in Edina, Minnesota, licensed in Minnesota (7837) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1427657139
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL OMOMO
Location Address7400 METRO BLVD STE 215Edina, MN 55439-2321
Mailing Address7400 Metro Blvd Ste 215Edina, MN 55439-2321 · (631) 533-2990 · Fax (651) 666-1396
Phone(631) 533-2990
Fax(651) 666-1396
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 22, 2020
Last NPPES UpdateMarch 31, 20267 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1427657139 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 · 7837
7400 METRO BLVD STE 215, Edina, MN 55439
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Michael Omomo 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 ID7315356672
PECOS Enrollment IDI20210518000018
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 55439 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.

RALPHVAN HEALTHCARE LLC
Home Health
7400 METRO BLVD STE 215
EDINA, MN 55439
Hennepin County (631) 533-2990
ZENITH HEALTHCARE
Nurse Practitioner (Psychiatric/Mental Health)
7400 METRO BLVD STE 215
EDINA, MN 55439
Hennepin County (631) 533-2990

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 Michael Omomo's NPI number?

The NPI number for Michael Omomo is 1427657139. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Where is Michael Omomo located?

Michael Omomo practices at 7400 Metro Blvd Ste 215, Edina, MN 55439. The listed phone number is (631) 533-2990.

What is Michael Omomo's specialty?

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

Is Michael Omomo enrolled in Medicare?

Yes. Michael Omomo 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 Michael Omomo accept?

Health plans from HealthPartners list Michael Omomo 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 Michael Omomo was last updated on March 31, 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.