Active NPI
Yankuba A Sanyang, NP
- Gerontology Nurse Practitioner
- Eagan, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5098
- Practice address
- 2000 Rahncliff CT Ste 400
Eagan, MN 55122-3470 - Phone
- (888) 290-1209
- NPI assigned
- Apr 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 5098 | MN | Primary |
Addresses
Primary practice location
2000 Rahncliff CT Ste 400
Eagan, MN 55122-3470
Mailing address
2004 Ford Pkwy
Saint Paul, MN 55116-1931
Phone (888) 290-1209
Other practice location 1
1415 Lilac Dr N Ste 190
Golden Valley, MN 55422-4544
Phone (763) 267-8701
Other practice location 2
2004 Ford Pkwy
Saint Paul, MN 55116-1931
Phone (888) 290-1209
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | yankuba.sanyang.1@31254.direct.athenahealth.com | Direct | Herself Health MN PC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2004 Ford Pkwy
Saint Paul, MN 55116-1931
Phone (612) 256-8225
Hospital & facility affiliations
- M Health Fairview Ridges Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical Plus | Current | Accepting new patients | |
| Herself Health MN PC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Ilbnc, P.a. | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702
2000 Rahncliff Ct
Ste 400
Saint Paul, MN 55122
Phone (888) 290-1209
1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610
2004 Ford Pkwy
Saint Paul, MN 55116
Phone (612) 256-8225
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- yankuba.sanyang.1@31254.direct.athenahealth.com
- https://api.platform.athenahealth.com/31254/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1326775420
-
- Orthopaedic Surgery of the Spine Physician
- Bloomington, MN
- NPI 1023001815
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1225199128
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1275068074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 FORD PKWY",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551161931",
"telephone_number": "888-290-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 RAHNCLIFF CT STE 400",
"city": "EAGAN",
"state": "MN",
"postal_code": "551223470",
"telephone_number": "888-290-1209"
}
],
"practiceLocations": [
{
"address_1": "1415 Lilac Dr N Ste 190",
"address_purpose": "LOCATION",
"city": "Golden Valley",
"state": "MN",
"postal_code": "554224544",
"country_code": "US",
"telephone_number": "763-267-8701",
"fax_number": "763-231-9602",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2004 Ford Pkwy",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551161931",
"country_code": "US",
"telephone_number": "888-290-1209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANYANG",
"first_name": "YANKUBA",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-29",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "5098",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "yankuba.sanyang.1@31254.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "Herself Health MN PC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2004 Ford Pkwy",
"city": "Saint Paul",
"state": "MN",
"country_code": "US",
"postal_code": "551161931",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.