GLORIA ABAKA AYUCK (FNP) – Family Nurse Practitioner, NPI 1124391461

GLORIA ABAKA AYUCK (FNP) is a healthcare provider. based in St louis park, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. R181973-7 (MN). The NPI Number for GLORIA ABAKA AYUCK (FNP) is 1124391461

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
GLORIA ABAKA AYUCK (FNP)
NPI
1124391461
Phone
(952) 993-1190
Address
3800 PARK NICOLLET BLVD
Enumeration Date
16 February 2012
Last Update Date
12 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
9529933123
Graduation Year
2011 (15 years ago)
PAC ID
2769635135
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20130115000247
Address ID
MN554162527ST3850XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for GLORIA ABAKA AYUCK (FNP)

  • 3800 PARK NICOLLET BLVD

    ST LOUIS PARK, MN 554162527

    Phone: (952) 993-1190

    Type: Location

  • 15115 DOVE TRL

    APPLE VALLEY, MN 551247871

    Phone: (952) 423-3200

    Type: Location

  • 12665 GERMANE AVE

    APT 1

    APPLE VALLEY, MN 551244370

    Phone: (612) 239-6321

    Type: Mailing

  • 15115 Dove Trl

    Apple Valley, MN 551247871

    Phone: (952) 423-3200

    Type: Location

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2013-01-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130115000247INurse PractitionerMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5453$0
36415Insertion of needle into vein for collection of blood sample2522$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 55416)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

How do I look up GLORIA ABAKA AYUCK (FNP) by NPI?
Use NPI 1124391461 when you need to reference GLORIA ABAKA AYUCK (FNP) in forms, claims, or directories.
Does this profile mean GLORIA ABAKA AYUCK (FNP) is currently active?
Yes — GLORIA ABAKA AYUCK (FNP) appears active in the national provider directory.
Does GLORIA ABAKA AYUCK (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for GLORIA ABAKA AYUCK (FNP). Clinical services aligned with this taxonomy classification.
Where is GLORIA ABAKA AYUCK (FNP)'s primary listing?
We display St Louis Park, Minnesota because that is what the record indicates for GLORIA ABAKA AYUCK (FNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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