Individual provider Active NPI

Yukiko Nakajima, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1922389790
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1108 Issued in MN
Practice address
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone
(612) 273-8700
Fax
(612) 273-8787
NPI assigned
Sep 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP1108 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1108 MN Primary

Addresses

Primary practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Mailing address

445 Etna St Ste 55
Saint Paul, MN 55106-5848
Phone (651) 254-9447

Other practice location 1

1300 S 2nd St Ste 180
Minneapolis, MN 55454-5000
Phone (612) 625-1562

Other practice location 2

1300 S 2nd St
Minneapolis, MN 55454-1075
Phone (612) 273-8700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130805000296 MN Practitioner - Nurse Practitioner 1951543909 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP1108MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Feb 20, 2019 Accepting new patients
Group Health, Inc. Current Accepting new patients
Group Health, Inc. CurrentSince Sep 15, 2015 Accepting new patients
Group Health, Inc. CurrentSince Sep 15, 2015 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Feb 20, 2019 Accepting new patients
Fairview Express Care Current Accepting new patients
University of Minnesota Physicians CurrentSince Dec 18, 2017 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince May 1, 2018 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Fairview Express Care CurrentSince Feb 20, 2019 Accepting new patients
Fairview Express Care CurrentSince Feb 20, 2019 Accepting new patients

Locations

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

1300 S 2nd St
Ste 180
Minneapolis, MN 55454
Phone (612) 625-1500

2450 Riverside Ave
Ste F140
Minneapolis, MN 55454
Phone (651) 464-4847

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1300 S 2nd St
Minneapolis, MN 55454
Phone (612) 302-8200

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

445 Etna St
Ste 55
Saint Paul, MN 55106
Phone (651) 254-4804

445 Etna St
Saint Paul, MN 55106
Phone (651) 251-3847

Interoperability endpoints

  • Direct secure messaging: ynakajima467663@fairview.direct-ci.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1922389790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 ETNA ST STE 55",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065848",
            "telephone_number": "651-254-9447",
            "fax_number": "651-254-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-273-8700",
            "fax_number": "612-273-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S 2nd St Ste 180",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554545000",
            "country_code": "US",
            "telephone_number": "612-625-1562",
            "fax_number": "612-626-8311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554541075",
            "country_code": "US",
            "telephone_number": "612-273-8700",
            "fax_number": "612-273-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKAJIMA",
        "first_name": "YUKIKO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "CNP1108",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "1108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.