MILLICENT BOA-AMPONSEM DNP, PMHNP-BC, CRNP
NPI 1659858769
Nurse Practitioner - Psychiatric/Mental Health in Apple Valley, MN

Q: What is Millicent Boa-amponsem's NPI number?

The NPI number for Millicent Boa-amponsem is 1659858769. It was assigned to this individual provider in the NPPES registry on July 20, 2018.

Q: What is Millicent Boa-amponsem's specialty?

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

Active since July 20, 2018PECOS EnrolledAccepts Medicare Assignment

14800 GALAXIE AVE STE 305, APPLE VALLEY, MN 55124(952) 432-1484(952) 432-2328 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, May 18, 2022, Sep 18, 2020 and 2 more (5 updates tracked since 2018).

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About Millicent Boa-amponsem Dnp, Pmhnp-bc, Crnp NPPES

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

MILLICENT BOA-AMPONSEM DNP, PMHNP-BC, CRNP (NPI 1659858769) is an individual psychiatric/mental health provider in Apple Valley, Minnesota, licensed in Minnesota (8696) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659858769

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMILLICENT BOA-AMPONSEMCredential: DNP, PMHNP-BC, CRNP

Location Address14800 GALAXIE AVE STE 305Apple Valley, MN 55124-4530

Mailing Address4240 Park Glen RdSt Louis Park, MN 55416-5427 · (612) 925-6033 · Fax (612) 925-8496

Phone(952) 432-1484

Fax(952) 432-2328

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 20, 2018

Last NPPES UpdateMay 27, 20255 updates tracked since enumeration

NPPES CertifiedMay 27, 2025

✔ NPI 1659858769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in MN · 8696✔ Licensed in MD · R213614

Also ListedRegistered NurseTaxonomy 163W00000X · License 1971170 (MN)

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License R213614 (MD)

14800 GALAXIE AVE STE 305, Apple Valley, MN 55124

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Accepted Insurance

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

Millicent Boa-amponsem Dnp, Pmhnp-bc, Crnp 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 ID1658615570

PECOS Enrollment IDI20181204002414, I20220425002618

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

59 services27 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55124 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 5

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

BROOKE ELIZABETH KERN MSN, PMHNP-BC,AGNP-C

Nurse Practitioner (Psychiatric/Mental Health)