AKENZUA AGBATOR PMHNP-BC
NPI 1427891043
Nurse Practitioner - Psychiatric/Mental Health in Minneapolis, MN
About Akenzua Agbator Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AKENZUA AGBATOR PMHNP-BC (NPI 1427891043) is an individual psychiatric/mental health provider in Minneapolis, Minnesota, licensed in Minnesota (11660) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
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 (PECOS)
Akenzua Agbator Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Akenzua Agbator reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55408
- Reassigned Medicare billing, Minnesota enrollment
- 152 clinicians in this Medicare group
Minneapolis, MN 55408
- Reassigned Medicare billing, Minnesota enrollment
- 2 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 55408 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55408
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 Akenzua Agbator's NPI number?
The NPI number for Akenzua Agbator is 1427891043. It was assigned to this individual provider in the NPPES registry on June 13, 2024.
Where is Akenzua Agbator located?
Akenzua Agbator practices at 621 W Lake St, Minneapolis, MN 55408. The listed phone number is (612) 979-2276.
What is Akenzua Agbator's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Akenzua Agbator enrolled in Medicare?
Yes. Akenzua Agbator is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Akenzua Agbator's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Akenzua Agbator reassigns Medicare benefits to 2 organizations: Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, MN) and Serene Psychiatric Services (Minneapolis, MN). Each 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 Akenzua Agbator's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Akenzua Agbator accept?
Health plans from HealthPartners list Akenzua Agbator 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 Akenzua Agbator was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Akenzua Agbator, PMHNP-BC · NPI 1427891043
Psychiatric/Mental Health physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 13, 2024.
## Identity
- **NPI:** 1427891043 (Entity type: Individual)
- **Enumerated:** June 13, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 11660 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 621 W LAKE ST, Minneapolis, MN 55408-2949
- **Phone:** (612) 979-2276
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lyn-Lake Psychotherapy And Wellness Ltd. (NPI 1609355163, Minneapolis, MN); Serene Psychiatric Services (NPI 1770300949, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 3, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1427891043) · Data from the CMS NPPES public registry.