Individual provider Active NPI

Chibwe Lupambo, APRN

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1295034361
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8157 Issued in MN
Practice address
1801 Nicollet Ave
Minneapolis, MN 55403-3791
Phone
(612) 823-2947
NPI assigned
Mar 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8157 MN Primary

Addresses

Primary practice location

1801 Nicollet Ave
Minneapolis, MN 55403-3791

Mailing address

PO Box 282
Albertville, MN 55301-0282

Other practice location 1

2499 Rice St
Suite 132
Roseville, MN 55113-3724
Phone (651) 494-9058

Other names 1

  • Chibwe Lupambo Professional name

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
I20231213000404 MN Practitioner - Nurse Practitioner 3577955566 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Minnesota PLLCGroup PAC ID 6305233461, 62 clinicians
Lifespark Medical Group PAGroup PAC ID 4385908201, 19 clinicians

Practice addresses (Care Compare)

5123 W 98TH St
Suite 2082
Minneapolis, MN 55437-2040
Phone (737) 226-6700

5320 W 23Rd St
Suite 130
St Louis Park, MN 55416-1670
Phone (952) 345-3213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8157MNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Dec 1, 2023 Accepting new patients
CH Specialty Services MN PC CurrentSince Jan 1, 2026 Accepting new patients
Lifespark Medical Group, PA Family CurrentSince Sep 30, 2024 Accepting new patients
Curana Health of Minnesota PLLC CurrentSince Jan 1, 2026 Accepting new patients
Spark Medical Providers PA CurrentSince Oct 2, 2025 Accepting new patients
Big Brothers Home Health Care, LLC 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

5123 W 98th St
Minneapolis, MN 55437
Phone (312) 961-4490

5320 W 23rd St
Ste 130
St Louis Park, MN 55416
Phone (952) 345-3213

Interoperability endpoints

  • Direct secure messaging: chibwe.lupambo.1@15699.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: chibwe.lupambo.1@17901.direct.athenahealth.com

Organizations & group practices 6

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": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1295034361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553010282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033791",
            "telephone_number": "612-823-2947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2499 Rice St",
            "address_2": "Suite 132",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551133724",
            "country_code": "US",
            "telephone_number": "651-494-9058",
            "fax_number": "651-494-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUPAMBO",
        "first_name": "CHIBWE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIBWE",
            "last_name": "LUPAMBO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.