LUCKY AMEDU NP
NPI 1356882138
Nurse Practitioner - Gerontology in Minneapolis, MN
About Lucky Amedu Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUCKY AMEDU NP (NPI 1356882138) is an individual gerontology provider in Minneapolis, Minnesota, licensed in Minnesota (5058) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lucky Amedu Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lucky Amedu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nashville, TN 37219
- Reassigned Medicare billing, Minnesota enrollment
- 126 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINNEAPOLIS, MN 55407
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 Lucky Amedu's NPI number?
The NPI number for Lucky Amedu is 1356882138. It was assigned to this individual provider in the NPPES registry on March 14, 2017.
Where is Lucky Amedu located?
Lucky Amedu practices at 2925 Chicago Ave, Minneapolis, MN 55407. The listed phone number is (612) 262-7800.
What is Lucky Amedu's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Lucky Amedu enrolled in Medicare?
Yes. Lucky Amedu is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lucky Amedu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lucky Amedu reassigns Medicare benefits to Matrix Medical Plus (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucky Amedu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lucky Amedu was last updated on March 1, 2022. 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.
# Lucky Amedu, NP · NPI 1356882138
Gerontology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 14, 2017.
## Identity
- **NPI:** 1356882138 (Entity type: Individual)
- **Enumerated:** March 14, 2017
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 5058 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2925 CHICAGO AVE, Minneapolis, MN 55407-1321
- **Phone:** (612) 262-7800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Matrix Medical Plus (NPI 1376973461, Nashville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1356882138) · Data from the CMS NPPES public registry.