Judith Moraa Wanyama, NP-C - Medicare Nurse Practitioner in Minneapolis, MN

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Judith Moraa Wanyama, NP-C is a medicare enrolled "Nurse Practitioner" in Minneapolis, Minnesota. Her current practice location is 1801 Nicollet Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 823-2947.

Judith Moraa Wanyama is licensed to practice in Minnesota (license number CNP4935) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265977466.

Contact Information

Judith Moraa Wanyama, NP-C
1801 Nicollet Ave,
Minneapolis, MN 55403-3791
(612) 823-2947
Not Available

Map and Direction




Provider's Profile

Full NameJudith Moraa Wanyama
GenderFemale
SpecialityNurse Practitioner
Location1801 Nicollet Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265977466
  • Provider Enumeration Date: 12/23/2016
  • Last Update Date: 09/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8628346277
  • Enrollment ID: I20170622001994

Medical Identifiers

Medical identifiers for Judith Moraa Wanyama such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265977466NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner C4935 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family APN.0992867-NP (Colorado)Secondary
363L00000XNurse Practitioner CNP4935 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Judith Moraa Wanyama allows following entities to bill medicare on her behalf.
Entity NamePeak Vista Community Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730166034
PECOS PAC ID: 4688583974
Enrollment ID: O20031110000337

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Judith Moraa Wanyama is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Judith Moraa Wanyama, NP-C
900 Nicollet Mall,
Minneapolis, MN 55403-2530

Ph: (763) 377-2069		Judith Moraa Wanyama, NP-C
1801 Nicollet Ave,
Minneapolis, MN 55403-3791

Ph: (612) 823-2947

Reviews and Comments


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Shiao-lin D Hui,
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Phone: 612-888-9792    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.