VALETTA JOHNSON MASSAQUOI (MSN, APRN, FNP-BC) – Family Nurse Practitioner, NPI 1922611318

VALETTA JOHNSON MASSAQUOI (MSN, APRN, FNP-BC) is a healthcare provider. based in Blaine, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-BC. They hold a License No. 7916 (MN). The NPI Number for VALETTA JOHNSON MASSAQUOI (MSN, APRN, FNP-BC) is 1922611318

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
VALETTA JOHNSON MASSAQUOI (MSN, APRN, FNP-BC)
NPI
1922611318
Phone
(651) 226-7974
Address
13035 FLANDERS CT NE
Enumeration Date
26 August 2020
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6127878408
Graduation Year
2018 (8 years ago)
PAC ID
7517352156
Group Practice PAC ID
9335465558
Professional Enrollment ID
I20220318000224
Address ID
MN553312015EX464XXSTXX303

Contacts

Secure Messaging
vmassaquoi53128@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:5State licenses:1Other names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for VALETTA JOHNSON MASSAQUOI (MSN, APRN, FNP-BC)

  • 13035 FLANDERS CT NE

    BLAINE, MN 554495896

    Phone: (651) 226-7974

    Type: Mailing

  • 9557 MONROE ST NE

    BLAINE, MN 554342540

    Phone: (763) 784-2896

    Type: Location

  • 464 2ND ST STE 204

    EXCELSIOR, MN 553312015

    Phone:

    Fax: (612) 567-8935

    Type: Mailing

  • 13035 Flanders Ct NE

    Blaine, MN 554495896

    Phone: (763) 784-2896

    Type: Location

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: 2022-03-18

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
I20220318000224INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes12770$0
99215Established patient office or other outpatient visit, 40-54 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 55449)

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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: 9335465558View full group profile
NameSpecialtyState
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Pain Management, Physical Medicine And RehabilitationMN
Nurse PractitionerMN
-MN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Does VALETTA JOHNSON MASSAQUOI (MSN, APRN, FNP-BC) have a public NPI I can cite?
Public records show VALETTA JOHNSON MASSAQUOI (MSN, APRN, FNP-BC) under NPI 1922611318.
Is VALETTA JOHNSON MASSAQUOI (MSN, APRN, FNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists VALETTA JOHNSON MASSAQUOI (MSN, APRN, FNP-BC) as active.
What type of care does VALETTA JOHNSON MASSAQUOI (MSN, APRN, FNP-BC) provide?
VALETTA JOHNSON MASSAQUOI (MSN, APRN, FNP-BC)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to VALETTA JOHNSON MASSAQUOI (MSN, APRN, FNP-BC)?
The directory associates VALETTA JOHNSON MASSAQUOI (MSN, APRN, FNP-BC) with Blaine, Minnesota. Check all listed addresses for suites or satellite offices.
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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