Individual provider Active NPI

Nadege Nguetsop Nnamani, FNP

  • Family Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1770040487
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139700 Issued in TX
Practice address
2004 Ford Pkwy
Saint Paul, MN 55116-1931
Phone
(505) 870-0015
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP139700 TX
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 73266 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10405 MN
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP139700 TX Primary

Addresses

Primary practice location

2004 Ford Pkwy
Saint Paul, MN 55116-1931

Mailing address

10101 Southwest Fwy Ste 108
Houston, TX 77074-1140
Phone (708) 250-6050

Other practice location 1

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994

Other practice location 2

999 18th St Ste 3000
Denver, CO 80202-2449
Phone (888) 731-8994

Other practice location 3

1299 Farnam St Ste 300
Omaha, NE 68102-1857
Phone (888) 731-8994

Other practice location 4

121 Washington Ave N Fl 2
Minneapolis, MN 55401-2503
Phone (888) 731-8994

Other practice location 5

111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597
Phone (888) 731-8994

Other practice location 6

one sun plaza, 100 sun ave
suite 650
albuquerque, NM 87109
Phone (888) 731-8994

Other practice location 7

139 Centre St Ph 120
New York, NY 10013-4559
Phone (888) 731-8994

Other practice location 8

699 Walnut St Ste 4
Des Moines, IA 50309-3949
Phone (888) 731-8994

Other practice location 9

429 4th Ave Fl 7
Pittsburgh, PA 15219-1500
Phone (888) 731-8994

Other practice location 10

222 2nd Ave S Fl 17
Nashville, TN 37201-2366
Phone (888) 731-8994

Other practice location 11

8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4630
Phone (469) 417-7522

Other practice location 12

700 Main St Ste 3
Bangor, ME 04401-6800
Phone (888) 731-8994

Other practice location 13

801 E Douglas Ave Fl 2
Wichita, KS 67202-3548
Phone (888) 731-8994

Other practice location 14

312 S 4th St Ste 700
Louisville, KY 40202-3046
Phone (888) 731-8994

Other practice location 15

112 Maverick Ct
Granbury, TX 76049-1381
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, PA, NM, IL, KY, FL, MN8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20200116000473 TX Practitioner - Nurse Practitioner 4486089661 Reassigns benefits to 1 organization
I20250221001265 NY Practitioner - Nurse Practitioner 4486089661 Reassigns benefits to 4 organizations
I20250303001037 PA Practitioner - Nurse Practitioner 4486089661 Reassigns benefits to 4 organizations
I20250312000477 NM Practitioner - Nurse Practitioner 4486089661 Reassigns benefits to 2 organizations
I20250326002695 IL Practitioner - Nurse Practitioner 4486089661 Reassigns benefits to 3 organizations
I20250711003116 KY Practitioner - Nurse Practitioner 4486089661 Reassigns benefits to 2 organizations
I20251208002271 FL Practitioner - Nurse Practitioner 4486089661 Reassigns benefits to 3 organizations
I20260430002754 MN Practitioner - Nurse Practitioner 4486089661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians
Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians
Dr Rebman BH LLCGroup PAC ID 6406340421, 6 clinicians

Practice addresses (Care Compare)

100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (212) 734-6621

103 Hospital Loop NE
Albuquerque, NM 87109-2115
Phone (212) 734-6621

1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621

350 W Schaumburg Rd
Suite 2
Schaumburg, IL 60194-3400
Phone (212) 734-6621

633 NE 167TH St
Suite 301N
Miami, FL 33162-2441
Phone (212) 734-6621

885 3Rd Ave
FL 28
New York, NY 10022-4834
Phone (212) 734-6621

Hospital & facility affiliations

  • Easton Skilled Nursing and Rehabilitation Center Nursing home, Easton, PA, CCN 395540
  • Casa Real Nursing home, Santa Fe, NM, CCN 325038
  • Belen Meadows Healthcare and Rehabilitation Center Nursing home, Belen, NM, CCN 325068
  • Pennsburg Manor Nursing home, Pennsburg, PA, CCN 395555
  • King of Prussia Skilled Nursing and Rehabilitation Nursing home, King of Prussia, PA, CCN 395834

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10405MNMDGeneral Practice Dentistry
AP139700TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rebman Medical PA Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
A & J Medical Consulting PLLC Multi-Specialty Current Accepting new patients
Imd Healthcare and Imaging Multi-Specialty CurrentSince Nov 30, 2019 Accepting new patients
Dr Rebman BH LLC Multi-Specialty CurrentSince Dec 3, 2025 Accepting new patients
Daniel Funsch Jr, M.D., P.C. Multi-Specialty CurrentSince Aug 19, 2025 Accepting new patients
Dr Medical Services PC Multi-Specialty CurrentSince May 19, 2025 Accepting new patients
Integrative Womens Care PC Multi-Specialty Past Accepting new patients

Locations

633 NE 167th St
Ste 301
North Miami Beach, FL 33162

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

350 W Schaumburg Rd
Ste 2
Schaumburg, IL 60194

200 Glenway Rd
Winchester, KY 40391
Phone (859) 556-0620

103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

19424 McKay Dr
Humble, TX 77338
Phone (281) 319-4060

19411 McKay Dr
Ste 150
Humble, TX 77338
Phone (281) 459-9181

Interoperability endpoints

  • Direct secure messaging: nadege.nnamani.1@30520.direct.athenahealth.com
  • Direct secure messaging: nadege.nnamani.1@27069.direct.athenahealth.com

Organizations & group practices 9

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 5

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1770040487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SOUTHWEST FWY STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741140",
            "telephone_number": "708-250-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161931",
            "telephone_number": "505-870-0015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 18th St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022449",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1299 Farnam St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681021857",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Washington Ave N Fl 2",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554012503",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Jackson Blvd Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606043597",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "one sun plaza, 100 sun ave",
            "address_2": "suite 650",
            "address_purpose": "LOCATION",
            "city": "albuquerque",
            "state": "NM",
            "postal_code": "87109",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Centre St Ph 120",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134559",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 Walnut St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503093949",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "429 4th Ave Fl 7",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191500",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 2nd Ave S Fl 17",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372012366",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8840 Cypress Waters Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750194630",
            "country_code": "US",
            "telephone_number": "469-417-7522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016800",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 E Douglas Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672023548",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 S 4th St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023046",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Maverick Ct",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760491381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NNAMANI",
        "first_name": "NADEGE",
        "middle_name": "NGUETSOP",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP139700",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "73266",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "10405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.