POVI DZODZOE FOLIVI (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124788765

POVI DZODZOE FOLIVI (PMHNP) is a healthcare provider. based in Apple valley, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 8511 (MN). The NPI Number for POVI DZODZOE FOLIVI (PMHNP) is 1124788765

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
POVI DZODZOE FOLIVI (PMHNP)
NPI
1124788765
Phone
(612) 703-3498
Address
5005 142nd Path W
Enumeration Date
22 December 2021
Last Update Date
24 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517740011
Graduation Year
2021 (5 years ago)
PAC ID
2264810282
Group Practice PAC ID
7012043540
Professional Enrollment ID
I20220603001183
Address ID
MN554334708CO1930XNWXX500
Telehealth
Yes

Contacts

Main Contact
N/A
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for POVI DZODZOE FOLIVI (PMHNP)

  • 5005 142nd Path W

    Apple Valley, MN 551247708

    Phone: (612) 703-3498

    Type: Location

  • 5005 142ND PATH W

    APPLE VALLEY, MN 551247708

    Phone: (612) 703-3498

    Type: Location

  • 317 YORK AVE

    SAINT PAUL, MN 551304039

    Phone: (651) 774-0011

    Fax: (651) 774-0606

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

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: 2022-06-03

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
I20220603001183INurse 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 minutes16258$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 55124)

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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: 7012043540View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical Social WorkerMN
-MN
P S Y C H I A T R YMN
Clinical Social WorkerMN
-MN
P S Y C H I A T R YMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What number should I use to identify POVI DZODZOE FOLIVI (PMHNP) for billing?
Administrative and clinical systems typically use NPI 1124788765 for POVI DZODZOE FOLIVI (PMHNP).
Is POVI DZODZOE FOLIVI (PMHNP) currently accepting referrals based on NPI status?
Registry metadata lists POVI DZODZOE FOLIVI (PMHNP) as active.
What services align with POVI DZODZOE FOLIVI (PMHNP)'s listing?
POVI DZODZOE FOLIVI (PMHNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to POVI DZODZOE FOLIVI (PMHNP)?
POVI DZODZOE FOLIVI (PMHNP) is associated with Apple Valley, Minnesota in the same public data insurers reference.
Can I export POVI DZODZOE FOLIVI (PMHNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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