ADENIKE OYEBISI OBISESAN
NPI 1477310977
Nurse Practitioner - Family in Golden Valley, MN

Q: 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.

Q: What is Adenike Obisesan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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 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.

Active since March 01, 2024PECOS EnrolledAccepts Medicare Assignment

820 LILAC DR N STE 140, GOLDEN VALLEY, MN 55422(763) 465-0500 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1477310977

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameADENIKE OYEBISI OBISESAN

Location Address820 LILAC DR N STE 140Golden Valley, MN 55422-4791

Mailing Address820 Lilac Dr N Ste 140Golden Valley, MN 55422-4791 · (763) 465-0500

Phone(763) 465-0500

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 1, 2024

Last NPPES UpdateMarch 30, 2026

NPPES CertifiedMarch 30, 2026

✔ NPI 1477310977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 11229

Also ListedNurse PractitionerTaxonomy 363L00000X · License 11229 (MN)

820 LILAC DR N STE 140, Golden Valley, MN 55422

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

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.

PECOS PAC ID2567987498

PECOS Enrollment IDI20250423001063

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.

Hospital Affiliations CMS Care Compare

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, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Physician 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.

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 9

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

SAMANTHA JO GRAF DNP, FNP-BC

Nurse Practitioner (Family)