Individual provider Active NPI

Yashmin Nagujja

  • Psychiatric/Mental Health Nurse Practitioner
  • Coon Rapids, MN
National Provider Identifier
1972173961
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8266 Issued in MN
Practice address
277 Coon Rapids Blvd NW Ste 414
Coon Rapids, MN 55433-5865
Phone
(612) 447-4747
NPI assigned
Jun 30, 2021
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8266 MN Primary

Addresses

Primary practice location

277 Coon Rapids Blvd NW Ste 414
Coon Rapids, MN 55433-5865

Mailing address

277 Coon Rapids Blvd NW Ste 414
Coon Rapids, MN 55433-5865
Phone (732) 900-2406

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
I20210825003008 MN Practitioner - Nurse Practitioner 7214332444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

1101 E 78TH St
Suite 100
Bloomington, MN 55420-1402
Phone (651) 604-3280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD CurrentSince Aug 1, 2021 Accepting new patients
Sere Path Wellness Center LLC Psychiatric/Mental Health Current Accepting new patients
Family Support Services Inc. PastSince Jul 1, 2021 Accepting new patients

Locations

277 Coon Rapids Blvd NW
Ste 414
Coon Rapids, MN 55433
Phone (612) 447-4747

1101 E 78th St
Ste 100
Minneapolis, MN 55420
Phone (952) 234-8604

1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1972173961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 COON RAPIDS BLVD NW STE 414",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335865",
            "telephone_number": "732-900-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 COON RAPIDS BLVD NW STE 414",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335865",
            "telephone_number": "612-447-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGUJJA",
        "first_name": "YASHMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

Verify at the official NPI Registry.