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JOHNTHAP OBAKPOLOR
NPI 1457215196
Nurse Practitioner - Psychiatric/Mental Health in Minnetonka, MN

Active since December 15, 2025PECOS Enrolled
12800 WHITEWATER DR STE 100, MINNETONKA, MN 55343(612) 482-2034 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2026, Jan 8, 2026, Dec 15, 2025 (3 updates tracked since 2025).

About Johnthap Obakpolor NPPES

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

JOHNTHAP OBAKPOLOR (NPI 1457215196) is an individual psychiatric/mental health provider in Minnetonka, Minnesota, licensed in Minnesota (13722) and active in the NPI registry since December 2025. The provider is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1457215196
Entity TypeIndividual
Primary Taxonomy363LP0808X
Provider Legal NameJOHNTHAP OBAKPOLOR
Location Address12800 WHITEWATER DR STE 100Minnetonka, MN 55343-9347
Mailing Address12682 88th Ave NMaple Grove, MN 55369-3044
Phone(612) 482-2034
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 15, 2025
Last NPPES UpdateJuly 11, 20263 updates tracked since enumeration
NPPES CertifiedJuly 11, 2026
✔ NPI 1457215196 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
Licenses✔ Licensed in MN · 13722✔ Licensed in CA · 95039158✔ Licensed in AZ · 225729
12800 WHITEWATER DR STE 100, Minnetonka, MN 55343
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14527 N 16th StPhoenix, AZ 85016-5352 · Phone (612) 482-2034
Location 2517 S Ivy AveMonrovia, CA 91016-2827 · Phone (612) 482-2034

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnthap Obakpolor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365922119
PECOS Enrollment IDI20260219001571
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 Johnthap Obakpolor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Resonancebridge Psychiatry & Wellness LLC
15 mi
Psychiatric/Mental Health
12682 88TH AVE N
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1639034770 (612) 482-2034

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 55343 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 14

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

MJH COUNSELING LLC
Counselor (Mental Health)
12800 WHITEWATER DR STE 100
MINNETONKA, MN 55343
Hennepin County (763) 306-9057
READY PSYCH GO LLC
Psychologist (Clinical)
12800 WHITEWATER DR STE 100
MINNETONKA, MN 55343
Hennepin County (612) 200-3886
SIERRA NICOLE CARTER MSW, LICSW
Social Worker (Clinical)
12800 WHITEWATER DR STE 100
MINNETONKA, MN 55343
Hennepin County (952) 592-3405
ARGAN HEALTHCARE SYSTEMS
Home Health
12800 WHITEWATER DR STE 100
MINNETONKA, MN 55343
Hennepin County (763) 245-3103
YUCABETH OYARO
Community Health Worker
12800 WHITEWATER DR STE 100
MINNETONKA, MN 55343
Hennepin County (651) 212-7875
PREMIER CULTURAL SOCIAL SERVICES
Case Management
12800 WHITEWATER DR STE 100
MINNETONKA, MN 55343
Hennepin County (763) 913-1048
SHIFT LIMITED LIABILITY COMPANY
Counselor (Mental Health)
12800 WHITEWATER DR STE 100
MINNETONKA, MN 55343
Hennepin County (612) 562-6605
HEARTHSIDE CARE LLC
Clinic/Center (Health Service)
12800 WHITEWATER DR STE 100
MINNETONKA, MN 55343
Hennepin County (962) 222-2222

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 Johnthap Obakpolor's NPI number?

The NPI number for Johnthap Obakpolor is 1457215196. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Where is Johnthap Obakpolor located?

Johnthap Obakpolor practices at 12800 Whitewater Dr Ste 100, Minnetonka, MN 55343. The listed phone number is (612) 482-2034.

What is Johnthap Obakpolor's specialty?

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

Is Johnthap Obakpolor enrolled in Medicare?

Yes. Johnthap Obakpolor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Johnthap Obakpolor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnthap Obakpolor reassigns Medicare benefits to Resonancebridge Psychiatry & Wellness LLC (Maple Grove, 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 Johnthap Obakpolor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johnthap Obakpolor accept?

Health plans from Blue Cross and Blue Shield of Texas list Johnthap Obakpolor 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 Johnthap Obakpolor was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.