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CALLEN B KIBAGENDI NURSE PRACTITIONER
NPI 1669143129
Nurse Practitioner - Primary Care in Minneapolis, MN

Active since September 24, 2021
100 WASHINGTON AVE S, MINNEAPOLIS, MN 55401(000) 000-0000 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Callen B Kibagendi Nurse Practitioner NPPES

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

CALLEN B KIBAGENDI NURSE PRACTITIONER (NPI 1669143129) is an individual primary care provider in Minneapolis, Minnesota, licensed in Minnesota (8229) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1669143129
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCALLEN B KIBAGENDICredential: NURSE PRACTITIONER
Location Address100 WASHINGTON AVE SMinneapolis, MN 55401-2110
Mailing AddressPo Box 9382North Saint Paul, MN 55109-0382
Phone(000) 000-0000
Sole ProprietorYes
Enumeration DateSeptember 24, 2021
NPPES CertifiedSeptember 7, 2021
✔ NPI 1669143129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MN · 8229
100 WASHINGTON AVE S, Minneapolis, MN 55401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 6

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

ROSELINE AGBORSANGAYA
Nurse Practitioner (Family)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Hennepin County (501) 467-5334
PATRICIA NUNEZ PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Hennepin County (956) 949-1949
DESIREAH GONZALES
Registered Nurse
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Hennepin County (210) 412-9591
KRYSTLE LACOLE OLIVER
Nurse Practitioner
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Hennepin County (901) 337-6920
SOPHIA REID ACNPC-AG
Nurse Practitioner (Acute Care)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Hennepin County (866) 492-5336
SUZANNE MICHELLE SCOTT
Nurse Practitioner (Psychiatric/Mental Health)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Hennepin County (757) 309-2728

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 Callen Kibagendi's NPI number?

The NPI number for Callen Kibagendi is 1669143129. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Where is Callen Kibagendi located?

Callen Kibagendi practices at 100 Washington Ave S, Minneapolis, MN 55401. The listed phone number is (000) 000-0000.

What is Callen Kibagendi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

What insurance does Callen Kibagendi accept?

Health plans from Medica list Callen Kibagendi 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 Callen Kibagendi was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.