Individual provider Active NPI

Makena M Nyakio, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, MN
National Provider Identifier
1427930916
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12254 Issued in MN
Practice address
2436 Hadley Hills Dr NE
Rochester, MN 55906-2045
Phone
(612) 310-4960
Fax
(612) 310-4960
NPI assigned
Jul 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12254 MN Primary

Addresses

Primary practice location

2436 Hadley Hills Dr NE
Rochester, MN 55906-2045

Mailing address

4626 35TH St NW
Rochester, MN 55901-5307
Phone (612) 310-4960

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
I20260319001991 MN Practitioner - Nurse Practitioner 3476995952 Practice locations: Rochester, MN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2436 Hadley Hills Dr NE
Rochester, MN 55906-2045
Phone (612) 310-4960

4626 35TH St NW
Rochester, MN 55901-5307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12254MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Triple a Nursing Care Group LLC Current Accepting new patients

Organizations & group practices 1

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": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1427930916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 35TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015307",
            "telephone_number": "612-310-4960",
            "fax_number": "612-310-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 HADLEY HILLS DR NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559062045",
            "telephone_number": "612-310-4960",
            "fax_number": "612-310-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAKIO",
        "first_name": "MAKENA",
        "middle_name": "M",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "12254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.