ADENIKE OYEBISI OBISESAN
NPI 1477310977
Nurse Practitioner - Family in Golden Valley, MN
About Adenike Oyebisi Obisesan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADENIKE OYEBISI OBISESAN (NPI 1477310977) is an individual family provider in Golden Valley, Minnesota, licensed in Minnesota (11229) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
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
Adenike Oyebisi Obisesan 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.
Medicare Billing Reassignments
3Medicare enrollment records show Adenike Obisesan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Golden Valley, MN 55422
- Reassigned Medicare billing, Minnesota enrollment
- 76 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 50 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Minnesota enrollment
- 126 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNAbbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55422 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GOLDEN VALLEY, MN 55422
GOLDEN VALLEY, MN 55422
GOLDEN VALLEY, MN 55422
GOLDEN VALLEY, MN 55422
GOLDEN VALLEY, MN 55422
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 Adenike Obisesan's NPI number?
The NPI number for Adenike Obisesan is 1477310977. It was assigned to this individual provider in the NPPES registry on March 1, 2024.
Where is Adenike Obisesan located?
Adenike Obisesan practices at 820 Lilac Dr N Ste 140, Golden Valley, MN 55422. The listed phone number is (763) 465-0500.
What is Adenike Obisesan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Adenike Obisesan enrolled in Medicare?
Yes. Adenike Obisesan 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 organizations bill Medicare for Adenike Obisesan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adenike Obisesan reassigns Medicare benefits to 3 organizations: Twin Cities Physicians Professional Corporation (Golden Valley, MN), Aeris Medical Group PLLC (St Louis Park, MN) and Matrix Medical Plus (Nashville, TN). 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 Adenike Obisesan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Adenike Obisesan affiliated with any hospitals?
According to CMS data, Adenike Obisesan is affiliated with Park Nicollet Methodist Hospital, Abbott Northwestern Hospital and M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Adenike Obisesan was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Adenike Oyebisi Obisesan · NPI 1477310977
Family physician in Golden Valley, Minnesota. Individual provider, active in the CMS NPPES registry since March 1, 2024.
## Identity
- **NPI:** 1477310977 (Entity type: Individual)
- **Enumerated:** March 1, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11229 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 820 LILAC DR N STE 140, Golden Valley, MN 55422-4791
- **Phone:** (763) 465-0500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Twin Cities Physicians Professional Corporation (NPI 1992176499, Golden Valley, MN); Aeris Medical Group PLLC (NPI 1184228520, St Louis Park, MN); Matrix Medical Plus (NPI 1376973461, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477310977) · Data from the CMS NPPES public registry.