Millicent Boa-amponsem, DNP, PMHNP-BC, CRNP - Medicare Nurse Practitioner in Apple Valley, MN

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Millicent Boa-amponsem, DNP, PMHNP-BC, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Apple Valley, Minnesota. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Associated Clinic Of Psychology Inc, Cornerstone Montgomery Inc and her current practice location is 14800 Galaxie Ave Ste 305, Apple Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 432-1484.

Millicent Boa-amponsem is licensed to practice in Minnesota (license number 8696) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659858769.

Contact Information

Millicent Boa-amponsem, DNP, PMHNP-BC, CRNP
14800 Galaxie Ave Ste 305,
Apple Valley, MN 55124-4530
(952) 432-1484
(952) 432-2328

Map and Direction




Provider's Profile

Full NameMillicent Boa-amponsem
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location14800 Galaxie Ave Ste 305, Apple Valley, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Millicent Boa-amponsem graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1659858769
  • Provider Enumeration Date: 07/20/2018
  • Last Update Date: 05/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1658615570
  • Enrollment ID: I20220425002618

Medical Identifiers

Medical identifiers for Millicent Boa-amponsem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659858769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 1971170 (Minnesota)Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health R213614 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R213614 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 8696 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Associated Clinic Of Psychology Inc0749171320135
Cornerstone Montgomery Inc397159175122

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Millicent Boa-amponsem allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameHennepin County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780790345
PECOS PAC ID: 7911892849
Enrollment ID: O20040218001012
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Millicent Boa-amponsem is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Millicent Boa-amponsem, DNP, PMHNP-BC, CRNP
4240 Park Glen Rd,
St Louis Park, MN 55416-5427

Ph: (612) 925-6033		Millicent Boa-amponsem, DNP, PMHNP-BC, CRNP
14800 Galaxie Ave Ste 305,
Apple Valley, MN 55124-4530

Ph: (952) 432-1484

Reviews and Comments


Nurse Practitioner Nurses in Apple Valley, MN

Alyssa Kong, DNP, APRN, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 15350 English Ave, Apple Valley, MN 55124
Phone: 952-431-8500    
Gail Turnberg, C.P.N.P.
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Medicare: Medicare Enrolled
Practice Location: 14135 Cedar Ave, Suite 100, Apple Valley, MN 55124
Phone: 952-432-4373    Fax: 952-997-5679
Tara Marie Nordberg, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124
Phone: 612-672-6000    
Dr. Laural Mokonchu, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12826 Glen Ct, Apple Valley, MN 55124
Phone: 612-990-7558    
Hilary Armstrong Winkelmann, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7300 W 147th Street, Suite 204, Apple Valley, MN 55124
Phone: 952-997-3020    Fax: 952-997-3026
Seth Daniel Hartman, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124
Phone: 651-241-3779    
Stephanie L Smith-fornshell, DNP, APRN, CNP, PMHN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14665 Galaxie Ave Ste 140, Apple Valley, MN 55124
Phone: 651-456-8494    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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