Abel O. Bwianchinga

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

7019 Issued in MN

Practice address

900 Nicollet Mall
Minneapolis, MN 55403-2530

Phone

(612) 338-5215

NPI assigned

Oct 20, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ramsey County Mental Health CenterGroup PAC ID 5092627000, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abel.bwianchinga.p3@direct.ramseysocialservices.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: abel.bwianchinga.p4@direct.ramseysocialservices.nextgenshare.com
• Direct secure messaging: abel.bwianchinga@state.mn.us

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ramsey County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1235299124
  Medicare reassignment Care Compare group NPD
• Nystrom & Associates, LTD

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  Medicare reassignment NPD
• Epic Health Care LLC

  • Adult Mental Health Clinic/Center
  • Maple Grove, MN
  • NPI 1962141937
  NPD Authorized official
• Community Behavioral Health Hospital-Fergus Falls

  • Psychiatric Hospital
  • Fergus Falls, MN
  • NPI 1962583039
  NPD
• Ramsey County Adult Mental Health

  • Adult Mental Health Clinic/Center
  • Saint Paul, MN
  • NPI 1740321678
  NPD
• Ramsey County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1376228684
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1043853336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 EDGEWOOD AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554282518",
            "telephone_number": "612-298-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NICOLLET MALL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032530",
            "telephone_number": "612-338-5215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 W Alcott Ave",
            "address_purpose": "LOCATION",
            "city": "Fergus Falls",
            "state": "MN",
            "postal_code": "565372661",
            "country_code": "US",
            "telephone_number": "218-332-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13603 80th Cir N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553698961",
            "country_code": "US",
            "telephone_number": "763-284-3706",
            "fax_number": "763-274-3121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BWIANCHINGA",
        "first_name": "ABEL",
        "middle_name": "O.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-20",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7019",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "7019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNP",
            "identifier": "7019",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Abel.bwianchinga@state.mn.us",
            "affiliation": "N",
            "address_1": "1801 W Alcott Ave",
            "city": "Fergus Falls",
            "state": "MN",
            "country_code": "US",
            "postal_code": "565372661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Abel.Bwianchinga@state.mn.us",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13603 80th Cir N",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553698961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Abel.bwianchinga@state.mn.us",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 Nicollet Mall",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554032530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenna Butzow, LICSW
• Jonathan Buus
• Joseph Buytendorp, MD
• Kirsten M Buzzell, LAMFT, LADC
• BW Medical PA
• Brandon Byars, PA-C, ATC
• Lavaughn Marguerite Bye, MSW, LICSW
• Kerri Byers
• Kady Byington, RN
• Michael Bylander, DDS

• Psychiatric/Mental Health Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.