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PIUS AWANDEM TANYIFOR
NPI 1679296248
Nurse Practitioner - Psychiatric/Mental Health in Saint Paul, MN

Active since September 20, 2022PECOS Enrolled
2115 COUNTY ROAD D E STE 100, SAINT PAUL, MN 55109(651) 358-7020(612) 293-6742 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pius Awandem Tanyifor NPPES

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

PIUS AWANDEM TANYIFOR (NPI 1679296248) is an individual psychiatric/mental health provider in Saint Paul, Minnesota, licensed in Minnesota (9538) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679296248
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NamePIUS AWANDEM TANYIFOR
Location Address2115 COUNTY ROAD D E STE 100Saint Paul, MN 55109-5353
Mailing Address7722 Mackenzie Ave NeOtsego, MN 55330-5031 · (763) 291-3169
Phone(651) 358-7020
Fax(612) 293-6742
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
✔ NPI 1679296248 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 · 9538
2115 COUNTY ROAD D E STE 100, Saint Paul, MN 55109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pius Awandem Tanyifor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961930722
PECOS Enrollment IDI20260708002989
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 Pius Tanyifor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brightstar Behavioral Health Services LLC
35 mi
Psychiatric/Mental Health
5703 LACHMAN AVE NE
Albertville, MN 55301
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1386510378 (763) 291-3169

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 55109 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 Pius Tanyifor's NPI number?

The NPI number for Pius Tanyifor is 1679296248. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Pius Tanyifor located?

Pius Tanyifor practices at 2115 County Road D E Ste 100, Saint Paul, MN 55109. The listed phone number is (651) 358-7020.

What is Pius Tanyifor's specialty?

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

Is Pius Tanyifor enrolled in Medicare?

Yes. Pius Tanyifor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pius Tanyifor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pius Tanyifor reassigns Medicare benefits to Brightstar Behavioral Health Services LLC (Albertville, 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 Pius Tanyifor'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 Pius Tanyifor was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.