KUMBA UMU SOGBEH KANU NP
NPI 1194021766
Nurse Practitioner - Gerontology in Maplewood, MN

Active since January 31, 2011PECOS EnrolledAccepts Medicare Assignment
1600 SAINT JOHNS BLVD STE 200, MAPLEWOOD, MN 55109(651) 326-4327 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2020, May 12, 2016, Jan 13, 2016 (3 updates tracked since 2016).

About Kumba Umu Sogbeh Kanu Np NPPES

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

KUMBA UMU SOGBEH KANU NP (NPI 1194021766) is an individual gerontology provider in Maplewood, Minnesota, licensed in Minnesota (4426) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains a secondary practice location in St Louis Park.

NPPES Registry Identity

NPI1194021766
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKUMBA UMU SOGBEH KANUCredential: NP
Location Address1600 SAINT JOHNS BLVD STE 200Maplewood, MN 55109-1190
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 31, 2011
Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
NPI 1194021766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MN · 4426
Also ListedRegistered NurseTaxonomy 163W00000X · License R166069-8 (MN)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4426 (MN)
1600 SAINT JOHNS BLVD STE 200, Maplewood, MN 55109

Secondary Practice Location 1

Location 16600 Excelsior BlvdSt Louis Park, MN 55426-4744 · Phone (952) 993-7700

Other Identifiers 1

Other868K1CAMN · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kumba Umu Sogbeh Kanu Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486945169
PECOS Enrollment IDI20160628001210
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
35 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$8.70 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$62.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Physician Assistant
1600 SAINT JOHNS BLVD STE 200
MAPLEWOOD, MN 55109
Nurse Practitioner (Adult Health)
1600 SAINT JOHNS BLVD STE 200
MAPLEWOOD, MN 55109
Internal Medicine (Clinical Cardiac Electrophysiology)
1600 SAINT JOHNS BLVD STE 200
MAPLEWOOD, MN 55109
Physician Assistant
1600 SAINT JOHNS BLVD STE 200
MAPLEWOOD, MN 55109
Physician Assistant (Medical)
1600 SAINT JOHNS BLVD STE 200
MAPLEWOOD, MN 55109
Physician Assistant
1600 SAINT JOHNS BLVD STE 200
MAPLEWOOD, MN 55109
Internal Medicine (Cardiovascular Disease)
1600 SAINT JOHNS BLVD STE 200
MAPLEWOOD, MN 55109
Internal Medicine (Cardiovascular Disease)
1600 SAINT JOHNS BLVD STE 200
MAPLEWOOD, MN 55109

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 Kumba Kanu's NPI number?

The NPI number for Kumba Kanu is 1194021766. It was assigned to this individual provider in the NPPES registry on January 31, 2011.

Where is Kumba Kanu located?

Kumba Kanu practices at 1600 Saint Johns Blvd Ste 200, Maplewood, MN 55109. The listed phone number is (651) 326-4327.

What is Kumba Kanu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kumba Kanu enrolled in Medicare?

Yes. Kumba Kanu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kumba Kanu accept?

Health plans from HealthPartners and Sanford Health Plan list Kumba Kanu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kumba Kanu affiliated with any hospitals?

According to CMS data, Kumba Kanu is affiliated with M Health Fairview University Of Mn, M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Kumba Kanu was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.