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MALACK A NYOKWOYO DNP
NPI 1356946636
Nurse Practitioner - Psychiatric/Mental Health in Owatonna, MN

Active since December 03, 2020PECOS EnrolledAccepts Medicare Assignment
2480 COUNTY ROAD 45, OWATONNA, MN 55060(612) 454-2130(507) 451-2705 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2021, Dec 28, 2020, Dec 3, 2020 (3 updates tracked since 2020).

About Malack A Nyokwoyo Dnp NPPES

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

MALACK A NYOKWOYO DNP (NPI 1356946636) is an individual psychiatric/mental health provider in Owatonna, Minnesota, licensed in Minnesota (7920) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356946636
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMALACK A NYOKWOYOCredential: DNP
Location Address2480 COUNTY ROAD 45Owatonna, MN 55060
Mailing Address2480 S County Road 45Owatonna, MN 55060-5113 · (612) 454-2132 · Fax (507) 451-2705
Phone(612) 454-2130
Fax(507) 451-2705
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 3, 2020
Last NPPES UpdateJanuary 5, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1356946636 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 · 7920
2480 COUNTY ROAD 45, Owatonna, MN 55060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Malack A Nyokwoyo Dnp 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 ID3971039413
PECOS Enrollment IDI20241209000302
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 55060 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.

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 Malack Nyokwoyo's NPI number?

The NPI number for Malack Nyokwoyo is 1356946636. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Malack Nyokwoyo located?

Malack Nyokwoyo practices at 2480 County Road 45, Owatonna, MN 55060. The listed phone number is (612) 454-2130.

What is Malack Nyokwoyo's specialty?

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

Is Malack Nyokwoyo enrolled in Medicare?

Yes. Malack Nyokwoyo 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 Malack Nyokwoyo accept?

Health plans from HealthPartners list Malack Nyokwoyo 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.

When was this NPI record last updated?

The NPPES record for Malack Nyokwoyo was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.