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DR. LISA CHINYERE WANDA MD, MPH
NPI 1932898632
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since May 08, 2023PECOS Enrolled
420 DELAWARE STREET SE, MMC 395, MINNEAPOLIS, MN 55455(612) 626-4939 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa Chinyere Wanda Md, Mph NPPES

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

DR. LISA CHINYERE WANDA MD, MPH (NPI 1932898632) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932898632
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. LISA CHINYERE WANDACredential: MD, MPH
Location Address420 DELAWARE STREET SE, MMC 395Minneapolis, MN 55455-0341
Mailing Address420 Delaware Street Se, Mmc 395Minneapolis, MN 55455 · (612) 626-4939
Phone(612) 626-4939
Sole ProprietorNo
Enumeration DateMay 8, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1932898632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELAWARE STREET SE, MMC 395, Minneapolis, MN 55455
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Chinyere Wanda Md, Mph 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.

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 Lisa Wanda's NPI number?

The NPI number for Lisa Wanda is 1932898632. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Lisa Wanda located?

Lisa Wanda practices at 420 Delaware Street SE, Mmc 395, Minneapolis, MN 55455. The listed phone number is (612) 626-4939.

What is Lisa Wanda's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lisa Wanda enrolled in Medicare?

Yes. Lisa Wanda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Wanda was last updated on May 8, 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.