Individual provider Active NPI

Susana Njuakom, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marshall, MN
National Provider Identifier
1942675368
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP- 4265 Issued in MN
Practice address
1212 E College Dr
Marshall, MN 56258-2010
Phone
(507) 532-3236
Fax
(507) 532-0240
NPI assigned
Dec 10, 2015
Last updated
Dec 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP- 4265 MN Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 23115511-1 MN

Addresses

Primary practice location

1212 E College Dr
Marshall, MN 56258-2010

Mailing address

1212 E College Dr
Marshall, MN 56258-2010
Phone (507) 532-3236

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
I20151214002247 MN Practitioner - Nurse Practitioner 3870894942 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mille Lacs Health SystemGroup PAC ID 4789577834, shared by 10 NPIs, 47 clinicians

Practice addresses (Care Compare)

200 Elm St N
Onamia, MN 56359-7901
Phone (320) 532-2750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23115511-1MNMDPsychiatric/Mental Health Registered Nurse
CNP- 4265MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Express Care Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 2, 2024 Accepting new patients
Thrive Counseling LLC CurrentSince Oct 1, 2021 Accepting new patients
Mille Lacs Health System CurrentSince Nov 1, 2025 Accepting new patients
Mille Lacs Health System Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 2, 2024 Accepting new patients
Mille Lacs Health System CurrentSince Jan 4, 2026 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services CurrentSince Dec 2, 2024 Accepting new patients
Fairview Health Services CurrentSince Dec 2, 2024 Accepting new patients
Fairview Express Care CurrentSince Dec 2, 2024 Accepting new patients
Mille Lacs Health System CurrentSince Nov 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Dec 2, 2024 Accepting new patients
Western Mental Health Center, Inc. CurrentSince Dec 10, 2015 Accepting new patients

Locations

1212 E College Dr
Marshall, MN 56258
Phone (507) 532-3236

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

2512 S 7th St
Minneapolis, MN 55454
Phone (612) 273-4277

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

7200 Hudson Blvd N
Ste 109
Oakdale, MN 55128

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

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

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wmhcinc/r4/

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 1

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": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1942675368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582010",
            "telephone_number": "507-532-3236",
            "fax_number": "507-532-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582010",
            "telephone_number": "507-532-3236",
            "fax_number": "507-532-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJUAKOM",
        "first_name": "SUSANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "CNP- 4265",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MN",
            "license": "23115511-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

Verify at the official NPI Registry.