Agnes Limunga Jackai, APRN, CNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10001 Issued in MN

Practice address

1521 93Rd LN NE Ste 100
Blaine, MN 55449-4432

Phone

(612) 598-3937

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Peaceofmind Psychiatry & Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blaine, MN
  • NPI 1891586582
  Medicare reassignment NPD Authorized official
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MN

  Medicare reassignment NPD
• Psych North PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Duluth, MN
  • NPI 1760136964
  NPD
• Pathway Virtu-Health

  • Family Nurse Practitioner
  • Shoreview, MN
  • NPI 1073134284
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1891403135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 93RD LN NE STE 100",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494432",
            "telephone_number": "612-598-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 93RD LN NE STE 100",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494432",
            "telephone_number": "612-598-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Hayes St NE Apt 12",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554185005",
            "country_code": "US",
            "telephone_number": "612-598-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKAI",
        "first_name": "AGNES",
        "middle_name": "LIMUNGA",
        "credential": "APRN, CNP,  PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "10001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infinite Health Collaborative, PA
• Inner Balance Behavioral Health
• Innovation Science and Technology Academy
• Integrity Health Care Services LLC
• Izdihar LLC
• Rebecca R Jackson, D.C.
• Jain Dental Blaine PLLC
• Kaltun Jama
• Zamzam Jama
• Mark Andrew Janiga, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Blaine, MN
• Providers in Blaine, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.