Kumba Umu Sogbeh Kanu, NP - Medicare Nurse Practitioner in St Louis Park, MN

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Kumba Umu Sogbeh Kanu, NP is a medicare enrolled "Nurse Practitioner" in St Louis Park, Minnesota. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Park Nicollet Clinic and her current practice location is 6600 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-7700.

Kumba Umu Sogbeh Kanu is licensed to practice in Minnesota (license number 4426) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194021766.

Contact Information

Kumba Umu Sogbeh Kanu, NP
6600 Excelsior Blvd,
St Louis Park, MN 55426-4744
(952) 993-7700
Not Available

Map and Direction




Provider's Profile

Full NameKumba Umu Sogbeh Kanu
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location6600 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kumba Umu Sogbeh Kanu graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1194021766
  • Provider Enumeration Date: 01/31/2011
  • Last Update Date: 05/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486945169
  • Enrollment ID: I20160628001210

Medical Identifiers

Medical identifiers for Kumba Umu Sogbeh Kanu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194021766NPI-NPPES
868K1CAOtherMNBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R166069-8 (Minnesota)Secondary
363L00000XNurse Practitioner 4426 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Interim Healthcare Of The Twin CitiesRoseville, MNHome health agency
Brighton HospiceSaint louis park, MNHospice
Park Nicollet Methodist HospitalSaint louis park, MNHospice
Park Nicollet Methodist HospitalSaint louis park, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381530

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. Kumba Umu Sogbeh Kanu allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameRegional Physician Services Of Minnesota Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588998744
PECOS PAC ID: 3678839842
Enrollment ID: O20171106000624
Entity NameMinor Medical Squad, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821646985
PECOS PAC ID: 4284063975
Enrollment ID: O20200331003589
Entity NameMinor Medical Squad Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821646985
PECOS PAC ID: 7810311487
Enrollment ID: O20200716001114

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. Kumba Umu Sogbeh Kanu 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
Kumba Umu Sogbeh Kanu, NP
8170 33rd Ave S, Po Box 1309 Mail Stop 21110q,
Minneapolis, MN 55425-4516

Ph: () -		Kumba Umu Sogbeh Kanu, NP
6600 Excelsior Blvd,
St Louis Park, MN 55426-4744

Ph: (952) 993-7700

Reviews and Comments


Nurse Practitioner Nurses in St Louis Park, MN

Camille Ashley Schwarzrock, NP-C
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Phone: 952-993-3230    Fax: 952-993-1748
Rachel Anderson, NP-C
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Practice Location: 4201 Excelsior Blvd, St Louis Park, MN 55416
Phone: 952-933-8900    
Haley Carlock, DNP, PMHNP-BC
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Practice Location: 1155 Ford Rd, Suite B, St Louis Park, MN 55426
Phone: 952-378-1800    Fax: 952-378-1714
Catherine Ann Watson Lund,
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Medicare: Medicare Enrolled
Practice Location: 4700 Park Glen Rd, St Louis Park, MN 55416
Phone: 952-922-4200    Fax: 952-922-4301
Anna Lynn Johnson, APRN CNP
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Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3246    Fax: 952-993-3010
Oluwasegun Paul David, DNP
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Medicare: Medicare Enrolled
Practice Location: 5775 Wayzata Blvd Fl 2, St Louis Park, MN 55416
Phone: 952-525-4500    
Tiffany Rae Krebsbach,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3246    

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.