TREASURE T TAKANG-ENOW (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1336544022

TREASURE T TAKANG-ENOW (RN) is a healthcare provider. based in Maple grove, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 833234 (TX). The NPI Number for TREASURE T TAKANG-ENOW (RN) is 1336544022

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
TREASURE T TAKANG-ENOW (RN)
NPI
1336544022
Phone
(832) 497-7119
Address
13603 80TH CIR N
Enumeration Date
24 October 2014
Last Update Date
19 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7634161489
Graduation Year
2023 (3 years ago)
PAC ID
7315380748
Group Practice PAC ID
6406752492
Professional Enrollment ID
I20240213001249
Address ID
MN553698961MA13603CIRX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for TREASURE T TAKANG-ENOW (RN)

  • 13603 80TH CIR N

    MAPLE GROVE, MN 553698961

    Phone: (832) 497-7119

    Type: Mailing

  • 4421 HEY 6 S # 300

    COLLEGE STATION, TX 77845

    Phone: (832) 497-7119

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($20).

Total Amount

$42

General + Research + Ownership

Payments

3

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-02-13

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
I20240213001249INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55369)

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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: 6406752492View full group profile
NameSpecialtyState
-GA
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
-MN

Reviews

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Frequently asked questions

How is TREASURE T TAKANG-ENOW (RN) identified in CMS data?
CMS-hosted NPPES data lists TREASURE T TAKANG-ENOW (RN) with NPI 1336544022.
Is TREASURE T TAKANG-ENOW (RN) still practicing?
TREASURE T TAKANG-ENOW (RN) is currently listed as active in the public NPI registry.
What healthcare role does TREASURE T TAKANG-ENOW (RN) hold?
Scheduling teams often label TREASURE T TAKANG-ENOW (RN) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for TREASURE T TAKANG-ENOW (RN)?
TREASURE T TAKANG-ENOW (RN)'s geographic hint is Maple Grove, Minnesota in our summary view.
Why does TREASURE T TAKANG-ENOW (RN) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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