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MRS. NANCY NYABUTI
NPI 1407677909
Counselor - Professional in Maple Grove, MN

Active since October 18, 2024PECOS Enrolled
13603 80TH CIR N, MAPLE GROVE, MN 55369(763) 274-3120(763) 274-3121 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Nancy Nyabuti NPPES

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

MRS. NANCY NYABUTI (NPI 1407677909) is an individual professional provider in Maple Grove, Minnesota, licensed in Minnesota (5548) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1407677909
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. NANCY NYABUTI
Location Address13603 80TH CIR NMaple Grove, MN 55369-8961
Mailing Address7960 Orchid Ln NMaple Grove, MN 55311-2186 · (612) 807-0456
Phone(763) 274-3120
Fax(763) 274-3121
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 18, 2024
Last NPPES UpdateApril 23, 2026
NPPES CertifiedApril 23, 2026
✔ NPI 1407677909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 5548
13603 80TH CIR N, Maple Grove, MN 55369
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Other Names 1

Former Name (1)Mrs. Nancy Kinara

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nancy Nyabuti is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375016256
PECOS Enrollment IDI20260623000740
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.

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.

DAVID M. KOSFELD LMFT
Marriage & Family Therapist
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
DR. ANITA THAMPY M.D
Psychiatry & Neurology (Psychiatry)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
AMOS KOUKOU MSW, LGSW
Social Worker (Clinical)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
DANIEL KNUDSON LADC
Counselor (Addiction (Substance Use Disorder))
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
BLAKE MALLOY
Counselor (Mental Health)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
DERELLE R MORRISON
Marriage & Family Therapist
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
MARTHA SEPULVEDA
Counselor (Mental Health)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 284-3706
DR. ROCHELLE ELIZABETH MCCOURTNEY GREDVIG PSYD
Psychologist (Counseling)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120

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 Nancy Nyabuti's NPI number?

The NPI number for Nancy Nyabuti is 1407677909. It was assigned to this individual provider in the NPPES registry on October 18, 2024. The provider is also known as Mrs. Nancy Kinara.

Where is Nancy Nyabuti located?

Nancy Nyabuti practices at 13603 80th Cir N, Maple Grove, MN 55369. The listed phone number is (763) 274-3120.

What is Nancy Nyabuti's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nancy Nyabuti enrolled in Medicare?

Yes. Nancy Nyabuti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nancy Nyabuti was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.