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

Individual provider Family Nurse Practitioner · NPI 1528450608

Vivian Ngongang Ogunyemi is a Nurse Practitioner in Coon Rapids, Minnesota. Qualified in 2019, 7 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2015
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Practice location Address checks out

3875 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2518
Phone: (651) 313-8080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2101 Elm St N, Fargo, ND 58102-2417 — (763) 291-4288

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6887 (MN)

Record details

NPI number1528450608
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 25, 2015
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021
Mailing address3875 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Coon Rapids