Ngunge Alemka Antongawoa
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Saint Paul, MN
NPI 1548022874 · NPPES record last updated Apr 22, 2024
Key facts
- NPI
- 1548022874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 10944 (MN)
- Practice address
- 2550 University Ave W
Suite 229N
Saint Paul, MN 55114 - Phone
- (651) 239-7002
- NPI assigned
- Jan 23, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Psych Recovery Inc
Practice addresses (Care Compare)
2550 University Ave W
Suite 229 N
St. Paul, MN 55114-1052
2550 University Ave W
Suite 229N
Saint Paul, MN 55114-1902
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240311000644 | MN | Practitioner - Nurse Practitioner | 5496191660 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10944 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passionate Healthcare Services | Current | Accepting new patients | |
| Psych Recovery Inc | Current |
Accepting new patients | |
| Psychiatric Recovery PA | Past |
Accepting new patients |
Locations
2550 University Ave W
Ste 229N
Saint Paul, MN 55114
Phone (651) 645-3115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10944 | MN | Yes |
Addresses
Primary practice location
2550 University Ave W
Suite 229N
Saint Paul, MN 55114
Mailing address
2550 University Ave W
Suite 229N
Saint Paul, MN 55114
Phone (651) 239-7002
Other providers in Saint Paul, MN
- Anne Delmont, LLC
- Ashley Lauren Anonen
- Azber Azher Ansar
- Ahmed M Anshur
- Anthurium Human Services LLC
- Amy Lynn Antonich
- Mohamad Anwar
- Sabreen Mohamed Anwar
- Chukwuemeka Alexander Anyake
- Apex Health Alliance
All providers in Saint Paul, MN · Psychiatric/Mental Health Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.