TIMOTHY NYANGACHA
NPI 1649971581
Student in an Organized Health Care Education/Training Program in Minneapolis, MN
About Timothy Nyangacha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY NYANGACHA (NPI 1649971581) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy Nyangacha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Timothy Nyangacha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Crystal, MN 55428
- Reassigned Medicare billing, Minnesota enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Timothy Nyangacha's NPI number?
The NPI number for Timothy Nyangacha is 1649971581. It was assigned to this individual provider in the NPPES registry on March 16, 2023.
Where is Timothy Nyangacha located?
Timothy Nyangacha practices at 420 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (612) 626-2935.
What is Timothy Nyangacha's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Timothy Nyangacha enrolled in Medicare?
Yes. Timothy Nyangacha is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Timothy Nyangacha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Nyangacha reassigns Medicare benefits to Northwest Family Physicians PA (Crystal, MN). The 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 Timothy Nyangacha'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 Timothy Nyangacha was last updated on March 16, 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.
# Timothy Nyangacha · NPI 1649971581
Student in an Organized Health Care Education/Training Program provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 16, 2023.
## Identity
- **NPI:** 1649971581 (Entity type: Individual)
- **Enumerated:** March 16, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 420 DELAWARE ST SE, Minneapolis, MN 55455-0341
- **Phone:** (612) 626-2935
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northwest Family Physicians PA (NPI 1548366867, Crystal, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2024
## Record status
- **NPPES last updated:** March 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1649971581) · Data from the CMS NPPES public registry.