Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ufuoma Peace Otebele, MSN, RN, PMHNP-BC

Individual provider Registered Nurse · NPI 1649961145

Ufuoma Peace Otebele, MSN, RN, PMHNP-BC is a Nurse Practitioner in St Louis Park, Minnesota. Qualified in 2023, 3 years ago. Practices with Associated Clinic of Psychology Inc, a 137-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2023
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1155 Ford Rd Ste B
St Louis Park, MN 55426-1115
Phone: (952) 378-1800
Fax: (952) 378-1714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4027 County Road 25, Minneapolis, MN 55416-2629 — (612) 925-6033

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10258 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 2480590 (MN)

Record details

NPI number1649961145
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , RN , PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 16, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Associated Clinic Of Psychology Inc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in St Louis Park