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EVANS ODHIAMBO
NPI 1992523898
Nurse Practitioner in Brooklyn Park, MN

Active since September 30, 2024PECOS EnrolledAccepts Medicare Assignment
8056 JAMES AVE N, BROOKLYN PARK, MN 55444(201) 214-9999 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Evans Odhiambo NPPES

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

EVANS ODHIAMBO (NPI 1992523898) is an individual nurse practitioner in Brooklyn Park, Minnesota, licensed in Minnesota (11843) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1992523898
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameEVANS ODHIAMBO
Location Address8056 JAMES AVE NBrooklyn Park, MN 55444-1673
Mailing Address8056 James Ave NBrooklyn Park, MN 55444-1673
Phone(201) 214-9999
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1992523898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 11843
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8056 JAMES AVE N, Brooklyn Park, MN 55444
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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 and accepts Medicare assignment

Evans Odhiambo 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 ID4284166364
PECOS Enrollment IDI20241014003680
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 Evans Odhiambo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Wound Care Minnesota PLLC
24 mi
General Practice
433 COUNTY ROAD 30 SE
Delano, MN 55328
  • Reassigned Medicare billing, Minnesota enrollment
  • 43 clinicians in this Medicare group
NPI 1205390457 (718) 705-6010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
84 services32 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55444 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 Evans Odhiambo's NPI number?

The NPI number for Evans Odhiambo is 1992523898. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Where is Evans Odhiambo located?

Evans Odhiambo practices at 8056 James Ave N, Brooklyn Park, MN 55444. The listed phone number is (201) 214-9999.

What is Evans Odhiambo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Evans Odhiambo enrolled in Medicare?

Yes. Evans Odhiambo 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 Evans Odhiambo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evans Odhiambo reassigns Medicare benefits to Integrated Wound Care Minnesota PLLC (Delano, 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 Evans Odhiambo'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 Evans Odhiambo was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.