VIVIAN NGONGANG OGUNYEMI
NPI 1528450608
Nurse Practitioner - Family in Coon Rapids, MN
About Vivian Ngongang Ogunyemi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVIAN NGONGANG OGUNYEMI (NPI 1528450608) is an individual family provider in Coon Rapids, Minnesota, licensed in Minnesota (6887) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fargo, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Vivian Ngongang Ogunyemi 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 Reassignment
Medicare enrollment records show Vivian Ogunyemi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Brighton, MN 55112
- Reassigned Medicare billing, Minnesota enrollment
- 794 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 55433 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vivian Ogunyemi's NPI number?
The NPI number for Vivian Ogunyemi is 1528450608. It was assigned to this individual provider in the NPPES registry on February 25, 2015.
Where is Vivian Ogunyemi located?
Vivian Ogunyemi practices at 3875 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (651) 313-8080.
What is Vivian Ogunyemi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Vivian Ogunyemi enrolled in Medicare?
Yes. Vivian Ogunyemi 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 organization bills Medicare for Vivian Ogunyemi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Ogunyemi reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, 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 Vivian Ogunyemi'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 Vivian Ogunyemi was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Vivian Ngongang Ogunyemi · NPI 1528450608
Family physician in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since February 25, 2015.
## Identity
- **NPI:** 1528450608 (Entity type: Individual)
- **Enumerated:** February 25, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 6887 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3875 COON RAPIDS BLVD NW, Coon Rapids, MN 55433-2518
- **Phone:** (651) 313-8080
## 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:** Nystrom & Associates, Ltd (NPI 1396750188, New Brighton, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1528450608) · Data from the CMS NPPES public registry.