Michael T Nwanna, APRN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11786 Issued in MN

Practice address

600 Twelve Oaks Center Dr Ste 217
Wayzata, MN 55391-4541

Phone

(952) 322-0768

Fax

(952) 592-3941

NPI assigned

Jul 10, 2024

Sex

Male

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

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.

• Goodplace Mental Health Services LLC

  • Adult Mental Health Clinic/Center
  • Wayzata, MN
  • NPI 1003631730

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1942047550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR STE 217",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914541",
            "telephone_number": "952-322-0768",
            "fax_number": "952-592-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR STE 217",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914541",
            "telephone_number": "952-322-0768",
            "fax_number": "952-592-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANNA",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Star Counseling and Trauma Specialists, PLLC
• Northland Billing Services
• Northland Dental Partners, PLLC
• Northwest Eye Clinic, LLC
• Northwest Eye Clinic, LLC
• Robinah Kyallisima Nwanna, CNP, PMHNP, APRN
• Amy Lorraine Nystrom, L.AC.
• Erin O'Shaughnessy
• Gregory Vincent O'Toole, DDS
• Robert W Ogren, PSYD

• Psychiatric/Mental Health Nurse Practitioner in Wayzata, MN
• Providers in Wayzata, 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 Apr 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.