MRS. AUGUSTINE I EVBAKHARE (FNP-C) – Family Nurse Practitioner, NPI 1225307135

MRS. AUGUSTINE I EVBAKHARE (FNP-C) is a healthcare provider. based in Saint paul, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 3796 (MN). The NPI Number for MRS. AUGUSTINE I EVBAKHARE (FNP-C) is 1225307135

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AUGUSTINE I EVBAKHARE (FNP-C)
NPI
1225307135
Phone
(612) 568-0864
Address
1370 BERRY RIDGE RD
Enumeration Date
21 December 2011
Last Update Date
13 April 2023

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6516027500
Graduation Year
2011 (15 years ago)
PAC ID
6901063312
Group Practice PAC ID
2062306434
Professional Enrollment ID
I20150515000443
Address ID
MN551063871SA895XXEXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MRS. AUGUSTINE I EVBAKHARE (FNP-C)

  • 1370 BERRY RIDGE RD

    SAINT PAUL, MN 551231403

    Phone: (612) 568-0864

    Type: Mailing

  • 324 E 35TH ST

    MINNEAPOLIS, MN 55408

    Phone: (612) 568-0864

    Type: Location

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

  • 8675 VALLEY CREEK RD

    WOODBURY, MN 551252337

    Phone: (651) 241-3000

    Type: Location

  • 324 E 35th St

    Minneapolis, MN 55408

    Phone: (612) 568-0864

    Type: Location

  • 153 Cesar Chavez St

    Saint Paul, MN 551072226

    Phone: (651) 602-7500

    Type: Location

  • 6965 ARCHER CT

    INVER GROVE HEIGHTS, MN 550771001

    Phone: (612) 568-0864

    Type: Mailing

  • 153 CESAR CHAVEZ ST

    SAINT PAUL, MN 551072226

    Phone: (651) 602-7500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-05-15

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
I20150515000443INurse 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 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 55123)

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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: 2062306434View full group profile
NameSpecialtyState
Physician AssistantMN
Certified Nurse Midwife (Cnm)MN
Mental Health CounselorMN
Certified Nurse Midwife (Cnm)MN
Certified Nurse Midwife (Cnm)MN
Physician AssistantMN
-NJ
Family PracticeMN
Clinical Social WorkerFL
Nurse PractitionerMN

Reviews

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Frequently asked questions

What number should I use to identify MRS. AUGUSTINE I EVBAKHARE (FNP-C) for billing?
Administrative and clinical systems typically use NPI 1225307135 for MRS. AUGUSTINE I EVBAKHARE (FNP-C).
Is MRS. AUGUSTINE I EVBAKHARE (FNP-C) currently accepting referrals based on NPI status?
Registry metadata lists MRS. AUGUSTINE I EVBAKHARE (FNP-C) as active.
What type of care does MRS. AUGUSTINE I EVBAKHARE (FNP-C) provide?
MRS. AUGUSTINE I EVBAKHARE (FNP-C)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. AUGUSTINE I EVBAKHARE (FNP-C) tied to Saint Paul, Minnesota?
If you are local to Saint Paul, Minnesota, MRS. AUGUSTINE I EVBAKHARE (FNP-C) may be relevant to your search.
Who maintains MRS. AUGUSTINE I EVBAKHARE (FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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