Essential Premium Healthcare LLC

Organization Active NPI Family Nurse Practitioner · Saint Michael, MN

NPI 1720912652 · NPPES record last updated Jun 8, 2026

Key facts

NPI
1720912652
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
ESSENTIAL PREMIUM HEALTHCARE LLC
Practice address
413 Ash Ave NW
Saint Michael, MN 55376-1013
Phone
(763) 439-3157
NPI assigned
Jun 8, 2026
Organization subpart
No

Authorized official

Name
Nadu Madje Lawson Zankli
Title
Owner
Phone
(763) 439-3157

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X Yes

Addresses

Primary practice location

413 Ash Ave NW
Saint Michael, MN 55376-1013

Mailing address

413 Ash Ave NW
Saint Michael, MN 55376-1013
Phone (763) 439-3157

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2026.

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1720912652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 ASH AVE NW",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553761013",
            "telephone_number": "763-439-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 ASH AVE NW",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553761013",
            "telephone_number": "763-439-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL PREMIUM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "LAWSON ZANKLI",
        "authorized_official_first_name": "NADU MADJE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-439-3157"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Michael, MN

All providers in Saint Michael, MN · Family Nurse Practitioner in Minnesota

Sources for this page

Verify at the official NPI Registry.