ABLAVI SABOUTEY (PMHNP) – Registered Nurse, NPI 1023737806

ABLAVI SABOUTEY (PMHNP) is a healthcare provider. based in Eagan, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 10045 (MN). The NPI Number for ABLAVI SABOUTEY (PMHNP) is 1023737806

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
ABLAVI SABOUTEY (PMHNP)
NPI
1023737806
Phone
(612) 616-6227
Address
3910 VALLEY VIEW DR N
Enumeration Date
24 August 2022
Last Update Date
22 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7534215535
Graduation Year
2022 (4 years ago)
PAC ID
2062869175
Group Practice PAC ID
6204178528
Professional Enrollment ID
I20231111000404
Address ID
MN554355202BL3601XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for ABLAVI SABOUTEY (PMHNP)

  • 3910 VALLEY VIEW DR N

    EAGAN, MN 551221595

    Phone: (612) 616-6227

    Type: Mailing

  • 7635 148TH ST W # 240

    APPLE VALLEY, MN 551247800

    Phone: (612) 616-6227

    Type: Mailing

  • 1212 E COLLEGE DR

    MARSHALL, MN 562582010

    Phone: (612) 616-6227

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($17).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231111000404INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2920$0
View full utilization report →

Insurance plans in this area (ZIP 55122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204178528View full group profile
NameSpecialtyState
Nurse PractitionerMN
Clinical PsychologistAK
Mental Health CounselorMN
Nurse PractitionerMN
Marriage And Family TherapistMN
Nurse PractitionerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Nurse PractitionerAZ

Reviews

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Frequently asked questions

What unique ID ties claims to ABLAVI SABOUTEY (PMHNP)?
NPI 1023737806 is assigned to ABLAVI SABOUTEY (PMHNP) under the national enumeration system.
Is ABLAVI SABOUTEY (PMHNP)'s NPI currently valid?
The extract we use shows ABLAVI SABOUTEY (PMHNP) as active.
Can you summarize ABLAVI SABOUTEY (PMHNP)'s specialty in plain language?
Clinically, the directory lists ABLAVI SABOUTEY (PMHNP) with Registered Nurse. Clinical services aligned with this taxonomy classification.
Where does public data place ABLAVI SABOUTEY (PMHNP)?
The snapshot lists Eagan, Minnesota for ABLAVI SABOUTEY (PMHNP); download NPPES for the complete set.
Is ABLAVI SABOUTEY (PMHNP) a real provider?
This page reflects official NPPES data for NPI 1023737806. Always confirm identity and privileges with the practice and licensing boards.

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