DR. NICOLE S BURKETTE IKEBATA MD, MPH
NPI 1972964849
Psychiatry & Neurology - Psychiatry in Roseville, MN

Active since March 18, 2016PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
2355 HIGHWAY 36 W STE 400, ROSEVILLE, MN 55113(651) 243-8113(931) 202-8451 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2026, Oct 6, 2025, Sep 9, 2025 and 4 more (7 updates tracked since 2016).

About Dr. Nicole S Burkette Ikebata Md, Mph NPPES

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

DR. NICOLE S BURKETTE IKEBATA MD, MPH (NPI 1972964849) is an individual psychiatry provider in Roseville, Minnesota, licensed in Minnesota (66384) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972964849
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. NICOLE S BURKETTE IKEBATACredential: MD, MPH
Location Address2355 HIGHWAY 36 W STE 400Roseville, MN 55113-3905
Mailing Address2355 Highway 36 W Ste 400Roseville, MN 55113-3905 · (651) 243-8113 · Fax (931) 202-8451
Fax(931) 202-8451
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 18, 2016
Last NPPES UpdateJune 11, 20267 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
NPI 1972964849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in MN · 66384 Licensed in CO · DR.0076759 Licensed in IA · MD-55795
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2355 HIGHWAY 36 W STE 400, Roseville, MN 55113

Other Names 1

Other Name (5)Nicole Ikebata

Secondary Practice Locations 5

Location 1345 Smith Ave NSaint Paul, MN 55102-2346 · Phone (651) 220-6700
Location 2280 Smith Ave N Ste 450Saint Paul, MN 55102-2481 · Phone (651) 241-5959 · Fax (651) 241-5958
Location 3308 E Burlington StIowa City, IA 52240-1602 · Phone (651) 243-8113
Location 42525 Chicago AveMinneapolis, MN 55404-4518 · Phone (612) 813-6000
Location 53609 Austin Bluffs Pkwy Ste 31Colorado Springs, CO 80918-6658 · Phone (205) 964-2924

Accepted 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

Dr. Nicole S Burkette Ikebata Md, Mph 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 ID7416388178
PECOS Enrollment IDI20210920003144
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 20

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

Behavior Analyst
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113
Psychologist (Clinical)
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113
Counselor (Professional)
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113
Clinic/Center
2355 HIGHWAY 36 W STE 400
SAINT PAUL,, MN 55113
Clinic/Center (Mental Health (Including Community Mental Health Center))
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113
Nurse Practitioner (Family)
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113
Marriage & Family Therapist
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113
Behavior Technician
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113

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 Nicole Burkette Ikebata's NPI number?

The NPI number for Nicole Burkette Ikebata is 1972964849. It was assigned to this individual provider in the NPPES registry on March 18, 2016. The provider is also known as Nicole Ikebata.

Where is Nicole Burkette Ikebata located?

Nicole Burkette Ikebata practices at 2355 Highway 36 W Ste 400, Roseville, MN 55113. The listed phone number is (651) 243-8113.

What is Nicole Burkette Ikebata's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nicole Burkette Ikebata enrolled in Medicare?

Yes. Nicole Burkette Ikebata 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.

What insurance does Nicole Burkette Ikebata accept?

Health plans from HealthPartners list Nicole Burkette Ikebata 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 Nicole Burkette Ikebata was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.