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LEONELLE YOKE EBANJA RN, CNP
NPI 1538577499
Nurse Practitioner - Family in Saint Paul, MN

Active since July 23, 2014PECOS Enrolled
1504 WHITE BEAR AVE N, SAINT PAUL, MN 55106(651) 771-2513(651) 771-2514 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2019, Sep 20, 2019 (2 updates tracked since 2019).

About Leonelle Yoke Ebanja Rn, Cnp NPPES

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

LEONELLE YOKE EBANJA RN, CNP (NPI 1538577499) is an individual family provider in Saint Paul, Minnesota, licensed in Minnesota (6867) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1538577499
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEONELLE YOKE EBANJACredential: RN, CNP
Location Address1504 WHITE BEAR AVE NSaint Paul, MN 55106-1606
Mailing Address5615 150th St NHugo, MN 55038-3535
Phone(651) 771-2513
Fax(651) 771-2514
Sole ProprietorNo
Enumeration DateJuly 23, 2014
Last NPPES UpdateSeptember 23, 20192 updates tracked since enumeration
✔ NPI 1538577499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 6867
Also ListedRegistered NurseTaxonomy 163W00000X · License 218747-1 (MN)
1504 WHITE BEAR AVE N, Saint Paul, MN 55106
Open in Google Maps ↗

Secondary Practice Location 1

Location 11300 Godward St NEMinneapolis, MN 55413-1741 · Phone (612) 353-4669 · Fax (612) 354-2403

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leonelle Yoke Ebanja Rn, Cnp 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

2

Medicare enrollment records show Leonelle Ebanja reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trucare Clinic LLC
11 mi
Primary Care
1527 E LAKE ST STE 1
Minneapolis, MN 55407
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1073257572 (267) 475-3076
Trucare Urgent Care LLC
11 mi
Urgent Care
1527 E LAKE ST STE 1
Minneapolis, MN 55407
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1407590904 (267) 475-3076

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 55106 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAOKOU MARCUS YANG DPM
Podiatrist
1504 WHITE BEAR AVE N
SAINT PAUL, MN 55106
Ramsey County (651) 771-2513
FOOT & ANKLE MEDICAL CLINIC, P.A.
Podiatrist (Primary Podiatric Medicine)
1504 WHITE BEAR AVE N
SAINT PAUL, MN 55106
Ramsey County (651) 771-2513

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 Leonelle Ebanja's NPI number?

The NPI number for Leonelle Ebanja is 1538577499. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Leonelle Ebanja located?

Leonelle Ebanja practices at 1504 White Bear Ave N, Saint Paul, MN 55106. The listed phone number is (651) 771-2513.

What is Leonelle Ebanja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leonelle Ebanja enrolled in Medicare?

Yes. Leonelle Ebanja is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Leonelle Ebanja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leonelle Ebanja reassigns Medicare benefits to 2 organizations: Trucare Clinic LLC (Minneapolis, MN) and Trucare Urgent Care LLC (Minneapolis, 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 Leonelle Ebanja'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 Leonelle Ebanja was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.