NGUM A NGWA (NP) – Adult Health Nurse Practitioner, NPI 1245537869

NGUM A NGWA (NP) is a healthcare provider. based in Brooklyn park, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2683 (MN). The NPI Number for NGUM A NGWA (NP) is 1245537869

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
NGUM A NGWA (NP)
NPI
1245537869
Phone
(763) 587-7974
Address
9201 W BROADWAY AVE
Enumeration Date
16 February 2011
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635877737
Graduation Year
2010 (16 years ago)
PAC ID
6002092939
Group Practice PAC ID
8628585080
Professional Enrollment ID
I20110510000890
Address ID
MN554131761MI3433XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for NGUM A NGWA (NP)

  • 9201 W BROADWAY AVE

    SUITE 601

    BROOKLYN PARK, MN 554451923

    Phone: (763) 587-7974

    Fax: (763) 587-7299

    Type: Mailing

  • 3366 OAKDALE AVE N

    SUITE 551

    ROBBINSDALE, MN 554222948

    Phone: (763) 587-7737

    Fax: (763) 587-7069

    Type: Location

  • 3433 BROADWAY ST NE STE 300

    MINNEAPOLIS, MN 554131761

    Phone: (763) 587-7737

    Fax: (763) 587-7069

    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: 2011-05-10

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
I20110510000890INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes186104$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes9984$0
99316Nursing facility discharge management, more than 30 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 55445)

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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: 8628585080View full group profile
NameSpecialtyState
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN
Family PracticeMN

Reviews

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Frequently asked questions

What NPI should I save for NGUM A NGWA (NP)?
Save NPI 1245537869 if you need a stable reference for NGUM A NGWA (NP).
Is NGUM A NGWA (NP)'s NPI currently valid?
The extract we use shows NGUM A NGWA (NP) as active.
Can you summarize NGUM A NGWA (NP)'s specialty in plain language?
Clinically, the directory lists NGUM A NGWA (NP) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does NGUM A NGWA (NP) practice in Minnesota?
You will see Brooklyn Park, Minnesota on file for NGUM A NGWA (NP) alongside any extra practice locations.
How can I contact NGUM A NGWA (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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