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

Active since December 03, 2020PECOS Enrolled
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: October 18, 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.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malack A Nyokwoyo Dnp 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.

Medicare Billing Reassignments

6

Medicare enrollment records show Malack Nyokwoyo reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
44 mi
Multi-Specialty
14101 FAIRVIEW DRIVE, STE 300
Burnsville, MN 55337
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1083806772 (952) 892-2650
Fairview Health Services
44 mi
General Acute Care Hospital
201 E NICOLLET BLVD, OUTREACH LAB DEPARTMENT
Burnsville, MN 55337
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1225199128 (952) 892-2085
Healtheast Medical Research Institute
53 mi
Clinic/Center
6936 PINE ARBOR DRIVE SOUTH, SUITE 100
Cottage Grove, MN 55016
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
NPI 1801842729 (651) 326-5800
Fairview Specialty Services
58 mi
Point of Service
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1912066218 (763) 525-9919
Hennepin Healthcare System, Inc
59 mi
Home Health
825 S 8TH ST, SL10
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,247 clinicians in this Medicare group
NPI 1962914333 (612) 617-4600
Range Regional Health Services
228 mi
General Acute Care Hospital
750 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 707 clinicians in this Medicare group
NPI 1356321699 (218) 262-4881

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 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 enrollment system.

Which organizations bill Medicare for Malack Nyokwoyo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malack Nyokwoyo reassigns Medicare benefits to 6 organizations: Fairview Express Care (Burnsville, MN), Fairview Health Services (Burnsville, MN), Healtheast Medical Research Institute (Cottage Grove, MN), Fairview Specialty Services (Saint Paul, MN), Hennepin Healthcare System, Inc (Minneapolis, MN) and 1 more organization, listed in the Medicare section above. Each 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 Malack Nyokwoyo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.