| Dr Titilope Olaoluwa Omisakin, DNP, APRN, CNP | |
|
9655 Schmidt Lake Rd Ste 150, Plymouth, MN 55442-4507 | |
| (763) 559-1640 | |
| Not Available |
| Full Name | Dr Titilope Olaoluwa Omisakin |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 9655 Schmidt Lake Rd Ste 150, Plymouth, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407536345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10421 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Plymouth Psych Group Llc | 6800103490 | 6 |
| Entity Name | Plymouth Psych Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003195942 PECOS PAC ID: 6800103490 Enrollment ID: O20150915000728 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Titilope Olaoluwa Omisakin, DNP, APRN, CNP 1528 111th Dr Ne Unit D, Blaine, MN 55449-4887 Ph: (908) 374-8661 | Dr Titilope Olaoluwa Omisakin, DNP, APRN, CNP 9655 Schmidt Lake Rd Ste 150, Plymouth, MN 55442-4507 Ph: (763) 559-1640 |
Mrs. Ellie Flannery, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5046 Everest Ln N, Plymouth, MN 55446 Phone: 612-669-8725 | |
Khrystyna Antonova, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15552 57th Pl N, Plymouth, MN 55446 Phone: 612-481-1842 | |
Sarah Irene Hare, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4140 County Road 101 N, Plymouth, MN 55446 Phone: 763-478-4612 | |
Natalie Brandsrud, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18205 45th Ave N Ste C, Plymouth, MN 55446 Phone: 763-400-7828 | |
Elizabeth Ann Brennan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Fernbrook Ln N Ste 120, Plymouth, MN 55447 Phone: 763-559-7050 Fax: 763-559-7060 | |
John M Rozman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 | |
Erica Barbosa De Souza, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Magnolia Ln N, Plymouth, MN 55441 Phone: 763-744-7256 |