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JUDITH MORAA WANYAMA NP-C
NPI 1265977466
Nurse Practitioner in Minneapolis, MN

Active since December 23, 2016PECOS Enrolled
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403(612) 823-2947 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2021, Feb 27, 2020, Dec 23, 2016 (3 updates tracked since 2016).

About Judith Moraa Wanyama Np-c NPPES

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

JUDITH MORAA WANYAMA NP-C (NPI 1265977466) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Minnesota (CNP4935) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265977466
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJUDITH MORAA WANYAMACredential: NP-C
Location Address1801 NICOLLET AVEMinneapolis, MN 55403-3791
Mailing Address900 Nicollet MallMinneapolis, MN 55403-2530 · (763) 377-2069
Phone(612) 823-2947
Sole ProprietorNo
Enumeration DateDecember 23, 2016
Last NPPES UpdateSeptember 22, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1265977466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MN · CNP4935✔ Licensed in MN · C4935
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN.0992867-NP (CO)
1801 NICOLLET AVE, Minneapolis, MN 55403
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith Moraa Wanyama Np-c 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 55403 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 20

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

MRS. CHERYL ELIZABETH SETTIMI CNP
Nurse Practitioner (Family)
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 823-2947
MS. FADUMO M ABDI CHW
Community Health Worker
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 823-2947
DR. JUAN R LEWIS M.D.
Family Medicine
1801 NICOLLET AVE, STE 101
MINNEAPOLIS, MN 55403
Hennepin County (612) 823-2947
DR. DARLENE M SHOLTIS
Psychologist (Clinical)
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 596-0900
HENNEPIN COUNTY
Case Management
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 348-6384
DR. HARVEY D LINDER PHD, LP
Psychologist (Clinical)
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 596-0900
PAUL TRAUGH LICSW
Social Worker (Clinical)
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 596-0900
CAROLE J WHITE
Social Worker (Clinical)
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 596-0900

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 Judith Wanyama's NPI number?

The NPI number for Judith Wanyama is 1265977466. It was assigned to this individual provider in the NPPES registry on December 23, 2016.

Where is Judith Wanyama located?

Judith Wanyama practices at 1801 Nicollet Ave, Minneapolis, MN 55403. The listed phone number is (612) 823-2947.

What is Judith Wanyama's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Judith Wanyama enrolled in Medicare?

Yes. Judith Wanyama is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judith Wanyama was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.