ERNESTINE MAMBO
NPI 1801240205
Nurse Practitioner - Family in Anoka, MN
About Ernestine Mambo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERNESTINE MAMBO (NPI 1801240205) is an individual family provider in Anoka, Minnesota, licensed in Minnesota (CNP4350) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ernestine Mambo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ANOKA, MN 55303
ANOKA, MN 55303
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 Ernestine Mambo's NPI number?
The NPI number for Ernestine Mambo is 1801240205. It was assigned to this individual provider in the NPPES registry on April 21, 2016.
Where is Ernestine Mambo located?
Ernestine Mambo practices at 3301 7th Ave, Anoka, MN 55303. The listed phone number is (651) 431-5000.
What is Ernestine Mambo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ernestine Mambo enrolled in Medicare?
Yes. Ernestine Mambo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ernestine Mambo was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ernestine Mambo · NPI 1801240205
Family physician in Anoka, Minnesota. Individual provider, active in the CMS NPPES registry since April 21, 2016.
## Identity
- **NPI:** 1801240205 (Entity type: Individual)
- **Enumerated:** April 21, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP4350 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3301 7TH AVE, Anoka, MN 55303-4516
- **Phone:** (651) 431-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** April 25, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1801240205) · Data from the CMS NPPES public registry.