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 and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nana A Wilmot-desouza M.d 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.
Medicare Billing Reassignments
4Medicare enrollment records show Nana Wilmot-desouza reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Apple Valley, MN 55124
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Burnsville, MN 55337
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Savage, MN 55378
- Reassigned Medicare billing, Minnesota enrollment
Savage, MN 55378
- Reassigned Medicare billing, Minnesota enrollment
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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nana Wilmot-desouza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nana Wilmot-desouza reassigns Medicare benefits to 4 organizations: Fairview Clinics (Apple Valley, MN), Fairview Health Services (Burnsville, MN), Arise Wound Institute PLLC (Savage, MN) and Arise Family Medical PLLC (Savage, MN). 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 Nana Wilmot-desouza'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 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 (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Fairview Clinics (NPI 1649462508, Apple Valley, MN); Fairview Health Services (NPI 1225199128, Burnsville, MN); Arise Wound Institute PLLC (NPI 1821892746, Savage, MN); Arise Family Medical PLLC (NPI 1376306464, Savage, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## 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.