MR. ABEL O. BWIANCHINGA – Psychiatric/Mental Health Nurse Practitioner, NPI 1043853336
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for MR. ABEL O. BWIANCHINGA
13603 80th Cir N
Maple Grove, MN 553698961
Phone: (763) 284-3706
Fax: (763) 274-3121
Type: Location
900 NICOLLET MALL
MINNEAPOLIS, MN 554032530
Phone: (612) 338-5215
Type: Location
Edina Realty, 13603, 80th Circle North, Grove Square Plaza, Maple Grove, Hennepin County, Minnesota, 55369, United States
MAPLE GROVE, MN 553698961
Phone: (763) 284-3706
Fax: (763) 274-3121
Type: Location
1801 W Alcott Ave
Fergus Falls, MN 565372661
Phone: (218) 332-5001
Type: Location
6433, Edgewood Avenue North, Brooklyn Park, Hennepin County, Minnesota, 55428, United States
BROOKLYN PARK, MN 554282518
Phone: (612) 298-7909
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200128000606 | I | Nurse Practitioner | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55369)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Clinical Psychologist | MN | |
| Clinical Social Worker | MN | |
| P S Y C H I A T R Y | MN | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | MN | |
| Marriage And Family Therapist | MN | |
| - | MN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.