Individual provider Active NPI

Emmanuela Akudo Enyinnaya, DNP, CNP, APRN

  • Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1346958642
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8398 Issued in MN
Practice address
5101 Minnehaha Ave
Minneapolis, MN 55417-1647
Phone
(612) 547-5700
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8398 MN Primary

Addresses

Primary practice location

5101 Minnehaha Ave
Minneapolis, MN 55417-1647

Mailing address

15899 Elmhurst LN Unit 2203
Apple Valley, MN 55124-4018
Phone (612) 396-5756

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
I20230207001388 MN Practitioner - Nurse Practitioner 6901278647 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Herself Health MN PCGroup PAC ID 6507234820, 31 clinicians

Practice addresses (Care Compare)

2004 Ford Pkwy
Saint Paul, MN 55116-1931
Phone (612) 256-8225

Hospital & facility affiliations

  • Accentcare Fairview Home Health - West, LLC Home health agency, Saint Paul, MN, CCN 247078
  • M Health Fairview Ridges Hospital Hospital, Burnsville, MN, CCN 240207
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078
  • St Francis Regional Medical Center Hospital, Shakopee, MN, CCN 240104

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sama Healthcare CurrentSince Jan 1, 2023 Accepting new patients
Core Health Medical and Mental Health Services Current Accepting new patients
Herself Health MN PC CurrentSince Jun 10, 2024 Accepting new patients
Bhsi, LLC CurrentSince Oct 21, 2024 Accepting new patients

Locations

2639 Nicollet Ave
Ste 130
Minneapolis, MN 55408
Phone (612) 886-2686

5450 Lyndale Ave S
Minneapolis, MN 55419
Phone (612) 256-8225

2330 Central Ave NE
Minneapolis, MN 55418
Phone (612) 781-1212

2000 Rahncliff Ct
Ste 400
Saint Paul, MN 55122
Phone (888) 290-1209

2497 7th Ave E
Saint Paul, MN 55109
Phone (651) 387-2165

2497 7th Ave E
Ste 108
Saint Paul, MN 55109
Phone (651) 769-6437

2004 Ford Pkwy
Saint Paul, MN 55116
Phone (612) 256-8225

2497 7th Ave E
Ste 101
Saint Paul, MN 55109
Phone (651) 769-6400

Interoperability endpoints

  • Direct secure messaging: emmanuela.enyinnaya.1@19405.direct.athenahealth.com
  • Direct secure messaging: emmanuela.enyinnaya.1@31254.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19405/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/31254/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1346958642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15899 ELMHURST LN UNIT 2203",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244018",
            "telephone_number": "612-396-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171647",
            "telephone_number": "612-547-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYINNAYA",
        "first_name": "EMMANUELA",
        "middle_name": "AKUDO",
        "name_prefix": "Dr.",
        "credential": "DNP, CNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "8398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.