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

Olubodun Ajibayo Ofakunrin, PMHNP, CNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1790657633

Olubodun Ajibayo Ofakunrin, PMHNP, CNP is a Nurse Practitioner in New Brighton, Minnesota. Qualified in 2025, 1 year ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone: (651) 628-9566
Fax: (651) 628-0411
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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 13390 (MN)

Record details

NPI number1790657633
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP , CNP
Sole proprietorYes
NPI enumeratedSeptember 20, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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