SELASE ADZO AGUDU-MORGAN (FNP-C) – Family Nurse Practitioner, NPI 1891278693
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for SELASE ADZO AGUDU-MORGAN (FNP-C)
8936 LYNDALE AVE S
BLOOMINGTON, MN 554202742
Phone: (952) 881-0163
Type: Mailing
19685 PILOT KNOB RD
FARMINGTON, MN 550247238
Phone: (651) 602-7500
Type: Location
920 E 28TH ST STE LL40
MINNEAPOLIS, MN 554071139
Phone: (612) 871-2312
Fax: (612) 871-2163
Type: Location
8936 Lyndale Ave S
Bloomington, MN 554202742
Phone: (952) 881-0163
Type: Location
916, Rice Street, Saint Paul, Ramsey County, Minnesota, 55117, United States
SAINT PAUL, MN 551175425
Phone: (651) 290-9200
Type: Mailing
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: 2018-12-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181213000754 | I | Nurse Practitioner | MN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Certified Nurse Midwife (Cnm) | MN | |
| Mental Health Counselor | MN | |
| Certified Nurse Midwife (Cnm) | MN | |
| Certified Nurse Midwife (Cnm) | MN | |
| Physician Assistant | MN | |
| - | NJ | |
| Family Practice | MN | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | MN |
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