NPIMap

Individual provider Active NPI

Stone Hamabwe Kabwe, CNP, APRN, FNP-C

  • Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1376298141
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9017 Issued in MN
Practice address
2220 Plymouth Ave N
Minneapolis, MN 55411-3600
Phone
(612) 543-2500
NPI assigned
Feb 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9017 MN Primary
Family Nurse Practitioner 363LF0000X 9017 MN

Addresses

Primary practice location

2220 Plymouth Ave N
Minneapolis, MN 55411-3600

Mailing address

2220 Plymouth Ave N
Minneapolis, MN 55411-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206002277 MN Practitioner - Nurse Practitioner 7214370345 Reassigns benefits to 3 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
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians

Practice addresses (Care Compare)

12142 Business Park Blvd N
Champlin, MN 55316-4525
Phone (952) 977-0500

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400

Hospital & facility affiliations

  • Park Nicollet Methodist Hospital Hospital, Saint Louis Park, MN, CCN 240053

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Telehealth PLLC CurrentSince Jan 1, 2024 Accepting new patients
Park Nicollet Clinic CurrentSince Aug 26, 2024 Accepting new patients
West Side Community Health Services, Inc. Current Accepting new patients
West Side Community Health Services, Inc. CurrentSince Mar 10, 2024 Accepting new patients
West Side Community Health Services, Inc CurrentSince Mar 10, 2024 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Park Nicollet Clinic CurrentSince Aug 26, 2024 Accepting new patients

Locations

12142 Business Park Blvd N
Champlin, MN 55316
Phone (952) 977-0500

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

1232 S Oak Ave
Owatonna, MN 55060
Phone (651) 508-0936

5507 Chateau Rd NW
Rochester, MN 55901
Phone (507) 286-8870

895 7th St E
Saint Paul, MN 55106
Phone (651) 793-2250

153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816

Interoperability endpoints

  • Direct secure messaging: skabwe733095@direct.ochin.org

Organizations & group practices 7

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1376298141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 PLYMOUTH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 PLYMOUTH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113600",
            "telephone_number": "612-543-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABWE",
        "first_name": "STONE",
        "middle_name": "HAMABWE",
        "credential": "CNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-19",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "9017",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.