TITILAYO ADEBAYO SANNI
NPI 1558147884
Nurse Practitioner - Psychiatric/Mental Health in Oakdale, MN

Active since September 04, 2023PECOS Enrolled
4650 HEATHER RIDGE RD N, OAKDALE, MN 55128(651) 278-9741 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Titilayo Adebayo Sanni NPPES

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

TITILAYO ADEBAYO SANNI (NPI 1558147884) is an individual psychiatric/mental health provider in Oakdale, Minnesota, licensed in Minnesota (10164) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558147884
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTITILAYO ADEBAYO SANNI
Location Address4650 HEATHER RIDGE RD NOakdale, MN 55128-2227
Mailing Address4650 Heather Ridge Rd NOakdale, MN 55128-2227 · (651) 278-9741
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 4, 2023
Last NPPES UpdateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
✔ NPI 1558147884 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
License✔ Licensed in MN · 10164
4650 HEATHER RIDGE RD N, Oakdale, MN 55128

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Titilayo Adebayo Sanni is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749759777
PECOS Enrollment IDI20260519002363
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 Titilayo Sanni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
3101 IRVING AVE S
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
  • 4 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 55128 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.

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 Titilayo Sanni's NPI number?

The NPI number for Titilayo Sanni is 1558147884. It was assigned to this individual provider in the NPPES registry on September 4, 2023.

Where is Titilayo Sanni located?

Titilayo Sanni practices at 4650 Heather Ridge Rd N, Oakdale, MN 55128. The listed phone number is (651) 278-9741.

What is Titilayo Sanni's specialty?

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

Is Titilayo Sanni enrolled in Medicare?

Yes. Titilayo Sanni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Titilayo Sanni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Titilayo Sanni reassigns Medicare benefits to Essential Care Centers Corp (Minneapolis, 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 Titilayo Sanni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Titilayo Sanni accept?

Health plans from HealthPartners list Titilayo Sanni 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 Titilayo Sanni was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.