Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Omomo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1427657139

Michael Omomo is a Nurse Practitioner in Edina, Minnesota. Qualified in 2020, 6 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020
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Practice location Address checks out

7400 Metro Blvd Ste 215
Edina, MN 55439-2321
Phone: (631) 533-2990
Fax: (651) 666-1396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 7837 (MN)

Record details

NPI number1427657139
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 22, 2020
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address7400 Metro Blvd Ste 215, Edina, MN 55439-2321

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Edina