Individual provider Active NPI

Esther ABA Amokuma Yankey, APRN-PMHNP

  • Psychiatry Physician
  • Crystal, MN
National Provider Identifier
1053019836
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9966 Issued in MN
Practice address
5700 Bottineau Blvd Ste 210
Crystal, MN 55429-3184
Phone
(763) 330-2774
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 9966 MN Primary
Addiction Psychiatry Physician 2084P0802X 9966 MN
Geriatric Psychiatry Physician 2084P0805X 9966 MN

Addresses

Primary practice location

5700 Bottineau Blvd Ste 210
Crystal, MN 55429-3184

Mailing address

5700 Bottineau Blvd Ste 210
Crystal, MN 55429-3184
Phone (763) 330-2774

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230501002883 MN Practitioner - Nurse Practitioner 3870958606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

207 Jefferson Blvd
Big Lake, MN 55309-4667
Phone (763) 367-6080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD CurrentSince Mar 10, 2023 Accepting new patients
Compassionate Hands & Associates PLLC Current Accepting new patients
Family Support Services Inc. PastSince Mar 10, 2023 Accepting new patients

Locations

207 Jefferson Blvd
Big Lake, MN 55309
Phone (763) 367-6080

5700 Bottineau Blvd
Ste 210
Minneapolis, MN 55429
Phone (763) 330-2774

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1053019836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 BOTTINEAU BLVD STE 210",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293184",
            "telephone_number": "763-330-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 BOTTINEAU BLVD STE 210",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293184",
            "telephone_number": "763-330-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKEY",
        "first_name": "ESTHER",
        "middle_name": "ABA AMOKUMA",
        "credential": "APRN-PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "9966",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MN",
            "license": "9966",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MN",
            "license": "9966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal, MN

Sources for this page

Verify at the official NPI Registry.