Michael Albert Maranga Nyantaroka

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6855 Issued in MN

Practice address

1801 Nicollet Ave
Minneapolis, MN 55403-3791

Phone

(612) 823-2947

NPI assigned

Aug 24, 2019

Last updated

Feb 9, 2023By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MN

  Medicare reassignment NPD
• Medina Medical Clinic & Urgent Care

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1457957383
  NPD
• Mecca Medical Center, LLC

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1336790864
  NPD (past)

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1942857818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9344 AUSTRIAN PINE AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431787",
            "telephone_number": "612-242-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033791",
            "telephone_number": "612-823-2947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 E College Dr",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562582379",
            "country_code": "US",
            "telephone_number": "507-530-6028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYANTAROKA",
        "first_name": "MICHAEL",
        "middle_name": "ALBERT MARANGA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Nyaboke Nyakundi
• Caroline Bwari Nyamweya Tekeste, DO
• Justin Aminga Nyandika, DNP- APRN
• Timothy Nyangacha
• Edith Nyakaana Nyangoma, MD
• Clive P Nyauncho, M.D.
• Alyssa Mary Nyberg, MPS, LPCC, LADC
• Emily Ann Nyberg, LAC, DIPL. AC., MAC
• Anna Lynn Nybo
• Katherine Lynn Nye

• Family Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.