DR. NANA A WILMOT-DESOUZA M.D
NPI 1396009247
Family Medicine in Apple Valley, MN
About Dr. Nana A Wilmot-desouza M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NANA A WILMOT-DESOUZA M.D (NPI 1396009247) is an individual family medicine provider in Apple Valley, Minnesota, licensed in Minnesota (59846) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 (PECOS)
Dr. Nana A Wilmot-desouza M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
APPLE VALLEY, MN 55124
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 Nana Wilmot-desouza's NPI number?
The NPI number for Nana Wilmot-desouza is 1396009247. It was assigned to this individual provider in the NPPES registry on June 26, 2012. The provider is also known as Dr. Nana Wilmot M.D.
Where is Nana Wilmot-desouza located?
Nana Wilmot-desouza practices at 15650 Cedar Ave, Apple Valley, MN 55124. The listed phone number is (952) 997-4122.
What is Nana Wilmot-desouza's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nana Wilmot-desouza enrolled in Medicare?
Yes. Nana Wilmot-desouza is registered in the Medicare PECOS enrollment system.
What insurance does Nana Wilmot-desouza accept?
Health plans from Medica list Nana Wilmot-desouza 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 Nana Wilmot-desouza was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Nana A Wilmot-Desouza, M.D · NPI 1396009247
Family Medicine physician in Apple Valley, Minnesota. Individual provider, active in the CMS NPPES registry since June 26, 2012.
## Identity
- **NPI:** 1396009247 (Entity type: Individual)
- **Enumerated:** June 26, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 59846 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15650 CEDAR AVE, Apple Valley, MN 55124-7283
- **Phone:** (952) 997-4122
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396009247) · Data from the CMS NPPES public registry.