Kalsang Wangmo, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R 163226-0 Issued in MN

Practice address

371 Old Highway 8 SW Apt 205
New Brighton, MN 55112-7729

Phone

(612) 280-7074

NPI assigned

Aug 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  MN

  Medicare reassignment NPD

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587254400000",
    "number": "1104226380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 OLD HIGHWAY 8 SW APT 205",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127729",
            "telephone_number": "612-280-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 OLD HIGHWAY 8 SW APT 205",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127729",
            "telephone_number": "612-280-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGMO",
        "first_name": "KALSANG",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R 163226-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Binh Y Vu, PA-C
• Andrew John Wahl, D.D.S.
• Elizabeth Walker
• Beteleham Walle
• Chris Wallin, L.P.
• Bilan Warsame
• Waters & Woods Therapy, PLLC
• Gabriel Watson, PH.D., LP
• Rita A. Watson
• Anna H. Weber, D.M.D.

• Nurse Practitioner in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.