Active NPI
Janeth Kamenge, NP
- Gerontology Nurse Practitioner
- Tucker, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN-NP709985
- Practice address
- 4424 Hugh Howell Rd Ste D
Tucker, GA 30084-4905 - Phone
- (888) 405-6396
- Fax
- (415) 252-7176
- NPI assigned
- Apr 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN-NP709985 | GA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 2234971 | MN | |
| Primary Care Nurse Practitioner | 363LP2300X | 8728 | MN |
Addresses
Primary practice location
4424 Hugh Howell Rd Ste D
Tucker, GA 30084-4905
Mailing address
4424 Hugh Howell Rd Ste D
Tucker, GA 30084-4905
Phone (888) 405-6396
Other practice location 1
8611 W Point Douglas Rd S
Cottage Grove, MN 55016-4005
Phone (651) 458-1884
Other practice location 2
6097 Courtly Alcove Unit C
Woodbury, MN 55125-1977
Phone (763) 377-3657
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkamenge545608@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
4424 Hugh Howell Rd
Suite D
Tucker, GA 30084-4905
Phone (404) 692-4466
8611 W Point Douglas Rd S
Cottage Grove, MN 55016-4005
Phone (651) 458-1884
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8728 | MN | MD | Clinical Social Worker |
| APRN-NP709985 | GA | MD | Gerontology Nurse Practitioner |
| 2234971 | MN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
8611 W Point Douglas Rd S
Cottage Grove, MN 55016
Phone (651) 458-1884
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
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.
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
dba Allina Health Mercy Women's Health Clinic
- Clinic/Center
- Coon Rapids, MN
- NPI 1811293269
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
dba Allina Health Nicollet Mall Clinic
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory University Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
dba Emory University Hospital At Wesley Woods
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1487395125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4424 HUGH HOWELL RD STE D",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844905",
"telephone_number": "888-405-6396",
"fax_number": "415-252-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 HUGH HOWELL RD STE D",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844905",
"telephone_number": "888-405-6396",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "8611 W Point Douglas Rd S",
"address_purpose": "LOCATION",
"city": "Cottage Grove",
"state": "MN",
"postal_code": "550164005",
"country_code": "US",
"telephone_number": "651-458-1884",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6097 Courtly Alcove Unit C",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "551251977",
"country_code": "US",
"telephone_number": "763-377-3657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMENGE",
"first_name": "JANETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-06",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "APRN-NP709985",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "2234971",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MN",
"license": "8728",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkamenge545608@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "8611 W Point Douglas Rd S",
"city": "Cottage Grove",
"state": "MN",
"country_code": "US",
"postal_code": "550164005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tucker, GA
- Kaiser Foundation Health Plan of Georgia Inc (Georgia Regional Lab)
- Kaiser Foundation Health Plan of Georgia Inc.
- Kaiser Foundation Health Plan of Georgia Inc.
- Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente Crescent Center)
- Kaiser Permanente Internal
- Jennifer Gall Kapella, MD
- Saba Karamali
- Danielle Alyssa Kardon, MOT, OTR/L
- Glenn Kasow, DO
- Berhanu Ejigu Kededa, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.