Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Olitha Jamesetta Fofana, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1013301407

Mrs. Olitha Jamesetta Fofana, AGPCNP-BC is a Nurse Practitioner in Champlin, Minnesota. Graduated from University of South Alabama College of Medicine in 2014, 12 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Trained at
University of South Alabama College of Medicine
Licensed in
MN
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

10911 Rhode Island Cir N
Champlin, MN 55316-3256 Not confirmed with CMS for 11 years — call before visiting
Phone: (763) 493-2947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence CNP 3783 (MN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence CNP 3783 (MN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence CNP 3783 (MN)

Record details

NPI number1013301407
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedMarch 24, 2015
Last updated in NPPESMarch 24, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients132
Services billed 244 a service is one billed item, such as a visit, a test or a procedure
Average patient age82

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Park Nicollet Clinic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1773 clinicians in the practice; 12 are shown here.

Other providers in Champlin