Zillah Mulubisha

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AG01170249 Issued in MN

Practice address

3776 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2629

Phone

(763) 340-2330

Fax

(763) 340-1444

NPI assigned

Feb 27, 2017

Sex

Female

Sole proprietor

No

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eon Care Clinicians PCGroup PAC ID 1052833951, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, 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.

• Eclipse Health Services

  • Adult Health Nurse Practitioner
  • Coon Rapids, MN
  • NPI 1295454874
  Medicare reassignment NPD Authorized official
• Eon Care Clinicians PC

  • Nurse Practitioner
  • Germantown, MD
  • NPI 1073332490

  MN

  Medicare reassignment Care Compare group NPD
• Lifespark Medical Group, PA

  • Geriatric Medicine (Family Medicine) Physician
  • St Louis Park, MN
  • NPI 1427551746

  Primary Care

  Medicare reassignment NPD
• Aligned Synergy Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn Park, MN
  • NPI 1063173508
  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1912447780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 132ND LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481205",
            "telephone_number": "763-340-2330",
            "fax_number": "763-340-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3776 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332629",
            "telephone_number": "763-340-2330",
            "fax_number": "763-340-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Brooklyn Park Clinic",
            "address_2": "7650 Zane Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55443",
            "country_code": "US",
            "telephone_number": "612-873-0000",
            "fax_number": "612-873-1957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULUBISHA",
        "first_name": "ZILLAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "AG01170249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Paul Mueller, PAC
• Tierney Mueller
• Erika Muellner, CNP
• Jerold Lee Mullins, CRNA
• Sean M Mulubisha
• Muna Mohamed Mumin
• Kristina K Munyer, CRNA
• Tomas Marek Murdych, MD
• Thomas Leslie Murphy, M.D.
• Quinn Kathleen Murray-Sundelius, MS, BCBA

• Primary Care Nurse Practitioner in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Primary Care Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.