MR. JOHN OTWORI NYAENYA DNP
NPI 1710470075
Nurse Practitioner - Family in Minneapolis, MN
About Mr. John Otwori Nyaenya Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN OTWORI NYAENYA DNP (NPI 1710470075) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (5925) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. John Otwori Nyaenya Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Nyaenya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55415
- Reassigned Medicare billing, Minnesota enrollment
- 1,247 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55415 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.
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
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 John Nyaenya's NPI number?
The NPI number for John Nyaenya is 1710470075. It was assigned to this individual provider in the NPPES registry on June 12, 2018.
Where is John Nyaenya located?
John Nyaenya practices at 701 Park Ave, Minneapolis, MN 55415. The listed phone number is (612) 873-6963.
What is John Nyaenya's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is John Nyaenya enrolled in Medicare?
Yes. John Nyaenya is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Nyaenya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Nyaenya reassigns Medicare benefits to Hennepin Healthcare System, Inc (Minneapolis, 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 John Nyaenya'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 John Nyaenya was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. John Otwori Nyaenya, DNP · NPI 1710470075
Family physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 12, 2018.
## Identity
- **NPI:** 1710470075 (Entity type: Individual)
- **Enumerated:** June 12, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5925 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 PARK AVE, Minneapolis, MN 55415-1623
- **Phone:** (612) 873-6963
## 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:** Hennepin Healthcare System, Inc (NPI 1033138136, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1710470075) · Data from the CMS NPPES public registry.