YANKUBA A SANYANG (NP) – Gerontology Nurse Practitioner, NPI 1275068074

YANKUBA A SANYANG (NP) is a healthcare provider. based in Golden valley, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 5098 (MN). The NPI Number for YANKUBA A SANYANG (NP) is 1275068074

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
YANKUBA A SANYANG (NP)
NPI
1275068074
Phone
(763) 267-8701
Address
1415 Lilac Dr N Ste 190
Enumeration Date
29 April 2017
Last Update Date
6 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122568225
Graduation Year
2016 (10 years ago)
PAC ID
4284904160
Group Practice PAC ID
6507234820
Professional Enrollment ID
I20170726000535
Address ID
MN551161931SA2004XPKWY300
Telehealth
Yes

Contacts

Secure Messaging
yankuba.sanyang.1@31254.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for YANKUBA A SANYANG (NP)

  • 1415 Lilac Dr N Ste 190

    Golden Valley, MN 554224544

    Phone: (763) 267-8701

    Fax: (763) 231-9602

    Type: Location

  • 2004 Ford Pkwy

    Saint Paul, MN 551161931

    Phone: (888) 290-1209

    Type: Location

  • 2000 RAHNCLIFF CT STE 400

    EAGAN, MN 551223470

    Phone: (888) 290-1209

    Type: Location

  • Lilac Drive North, Golden Valley, Hennepin County, Minnesota, 55422, United States

    GOLDEN VALLEY, MN 554224544

    Phone: (763) 267-8701

    Fax: (763) 231-9602

    Type: Location

  • 2004 FORD PKWY

    SAINT PAUL, MN 551161931

    Phone: (888) 290-1209

    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: 2017-07-26

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
I20170726000535INurse 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
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes7777$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes7673$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 55422)

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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: 6507234820View full group profile
NameSpecialtyState
Physician AssistantMN
Clinical Social WorkerIL
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN
Physician AssistantWI
Nurse PractitionerMN
Family PracticeMN

Reviews

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Frequently asked questions

Does YANKUBA A SANYANG (NP) have a public NPI I can cite?
Public records show YANKUBA A SANYANG (NP) under NPI 1275068074.
Is YANKUBA A SANYANG (NP)'s NPI status active today?
Active status means YANKUBA A SANYANG (NP)'s NPI record is not deactivated in the public file.
How should patients interpret YANKUBA A SANYANG (NP)'s specialty?
The extract shows Gerontology Nurse Practitioner for YANKUBA A SANYANG (NP). Clinical services aligned with this taxonomy classification.
Is YANKUBA A SANYANG (NP) tied to Golden Valley, Minnesota?
If you are local to Golden Valley, Minnesota, YANKUBA A SANYANG (NP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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