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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FAITH NYAENYA
NPI 1114720703
Nurse Practitioner - Psychiatric/Mental Health in Plymouth, MN

Active since March 29, 2025PECOS Enrolled
4100 BERKSHIRE LN N STE 250, PLYMOUTH, MN 55446(612) 223-8898 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 11, 2026, Jul 20, 2026, Mar 29, 2025 (3 updates tracked since 2025).

About Faith Nyaenya NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAITH NYAENYA (NPI 1114720703) is an individual psychiatric/mental health provider in Plymouth, Minnesota, licensed in Minnesota (12333) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Shakopee.

NPPES Registry Identity

NPI1114720703
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFAITH NYAENYA
Location Address4100 BERKSHIRE LN N STE 250Plymouth, MN 55446-3888
Mailing Address4100 Berkshire Ln N Ste 250Plymouth, MN 55446-3888 · (612) 223-8898
Phone(612) 223-8898
Sole ProprietorNo
Enumeration DateMarch 29, 2025
Last NPPES UpdateSeptember 11, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1114720703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · 12333
4100 BERKSHIRE LN N STE 250, Plymouth, MN 55446
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Other Names 1

Other Name (5)Faith Kerubo Nyaenya Pmhnp-bc

Secondary Practice Location 1

Location 1200 4th Ave WShakopee, MN 55379-1220 · Phone (952) 496-8314 · Fax (952) 496-8355

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Faith Nyaenya is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55446 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY HENNIS LPC
Counselor (Professional)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
ANDREW CARSON MA
Counselor (Mental Health)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
LINDSAY JOHNSON PSYD
Psychologist
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
SAMANTHA JO PREUSSER MSW, LICSW
Social Worker (Clinical)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
KAYLA MARIE DJONNE MSW, LICSW
Social Worker (Clinical)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
PAUL BARRY BENSON
Counselor (Professional)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
MICHAELA BURNS LAULAINEN
Counselor
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faith Nyaenya's NPI number?

The NPI number for Faith Nyaenya is 1114720703. It was assigned to this individual provider in the NPPES registry on March 29, 2025. The provider is also known as Faith Kerubo Nyaenya Pmhnp-Bc.

Where is Faith Nyaenya located?

Faith Nyaenya practices at 4100 Berkshire Ln N Ste 250, Plymouth, MN 55446. The listed phone number is (612) 223-8898.

What is Faith Nyaenya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Faith Nyaenya enrolled in Medicare?

Yes. Faith Nyaenya is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Faith Nyaenya was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.