SUSANA NJUAKOM (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1942675368

SUSANA NJUAKOM (NP) is a healthcare provider. based in Marshall, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 23115511-1 (MN). The NPI Number for SUSANA NJUAKOM (NP) is 1942675368

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SUSANA NJUAKOM (NP)
NPI
1942675368
Phone
(507) 532-3236
Address
1212 E COLLEGE DR
Enumeration Date
10 December 2015
Last Update Date
10 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
3870894942
Group Practice PAC ID
4789577834
Professional Enrollment ID
I20190226002249
Address ID
MN563597901ON200XXNXXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for SUSANA NJUAKOM (NP)

  • 1212 E COLLEGE DR

    MARSHALL, MN 562582010

    Phone: (507) 532-3236

    Fax: (507) 532-0240

    Mailing address matches the actual address.

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: 2015-12-14

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
I20151214002247INurse 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
99212Established patient office or other outpatient visit, 10-19 minutes1812$0
View full utilization report →

Insurance plans in this area (ZIP 56258)

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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: 4789577834View full group profile
NameSpecialtyState
Family PracticeND
Family PracticeNH
Nurse PractitionerMN
Cardiovascular Disease (Cardiology), Internal MedicineMN
U R O L O G YMN
Diagnostic RadiologyMN
Emergency MedicineMN
Family PracticeMT
Cardiovascular Disease (Cardiology)MN
P O D I A T R YMN

Reviews

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Frequently asked questions

What unique ID ties claims to SUSANA NJUAKOM (NP)?
NPI 1942675368 is assigned to SUSANA NJUAKOM (NP) under the national enumeration system.
Does this profile mean SUSANA NJUAKOM (NP) is currently active?
Yes — SUSANA NJUAKOM (NP) appears active in the national provider directory.
Does SUSANA NJUAKOM (NP) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for SUSANA NJUAKOM (NP). Clinical services aligned with this taxonomy classification.
Where is SUSANA NJUAKOM (NP)'s primary listing?
We display Marshall, Minnesota because that is what the record indicates for SUSANA NJUAKOM (NP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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