1. Home
  2. Directory
  3. Minnesota
  4. Brooklyn Park
  5. Nurse Practitioner
  6. NPI Profile

MR. WALTER OGETTI NYABERE NP
NPI 1467704528
Nurse Practitioner in Brooklyn Park, MN

Active since October 12, 2012PECOS Enrolled
8421 W BROADWAY AVE, BROOKLYN PARK, MN 55445(952) 212-0911(651) 300-1956 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2018, May 8, 2018, Mar 17, 2018 and 3 more (6 updates tracked since 2017).

About Mr. Walter Ogetti Nyabere Np NPPES

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

MR. WALTER OGETTI NYABERE NP (NPI 1467704528) is an individual nurse practitioner in Brooklyn Park, Minnesota, licensed in Minnesota (0956) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467704528
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. WALTER OGETTI NYABERECredential: NP
Location Address8421 W BROADWAY AVEBrooklyn Park, MN 55445
Mailing Address8421 W Broadway AveBrooklyn Park, MN 55445-2266 · (952) 212-0911 · Fax (651) 300-1956
Phone(952) 212-0911
Fax(651) 300-1956
Sole ProprietorYes
Enumeration DateOctober 12, 2012
Last NPPES UpdateMay 15, 20186 updates tracked since enumeration
✔ NPI 1467704528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 0956
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8421 W BROADWAY AVE, Brooklyn Park, MN 55445
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Walter Ogetti Nyabere Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Walter Nyabere reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Theoria Medical
528 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Minnesota enrollment
  • 21 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634

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 55445 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 3

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

INTEGRATIVE HEALTH & WELLNESS CLINIC
Clinic/Center (Primary Care)
8421 W BROADWAY AVE
BROOKLYN PARK, MN 55445
Hennepin County (763) 213-9359
ASSURED HEALTH LLC
Clinic/Center (Primary Care)
8421 W BROADWAY AVE
BROOKLYN PARK, MN 55445
Hennepin County (952) 212-0911
DR. DANH LAM DDS
Dentist (General Practice)
8421 W BROADWAY AVE
BROOKLYN PARK, MN 55445
Hennepin County (763) 424-5313

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 Walter Nyabere's NPI number?

The NPI number for Walter Nyabere is 1467704528. It was assigned to this individual provider in the NPPES registry on October 12, 2012.

Where is Walter Nyabere located?

Walter Nyabere practices at 8421 W Broadway Ave, Brooklyn Park, MN 55445. The listed phone number is (952) 212-0911.

What is Walter Nyabere's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Walter Nyabere enrolled in Medicare?

Yes. Walter Nyabere is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Walter Nyabere's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Walter Nyabere reassigns Medicare benefits to Theoria Medical (Novi, MI). 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 Walter Nyabere'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 Walter Nyabere was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.