Mr Tyrolt A Ngole, CNP, PMHNP in Coon Rapids, MN

Mr Tyrolt A Ngole, CNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Coon Rapids, Minnesota. His current practice location is 11660 Round Lake Blvd Nw, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 767-3350.

Mr Tyrolt A Ngole is licensed to practice in Minnesota (license number 9694) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952019374.

Contact Information

	Mr Tyrolt A Ngole, CNP, PMHNP
	11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638
	(763) 767-3350
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Tyrolt A Ngole
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	11660 Round Lake Blvd Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952019374
Provider Enumeration Date: 11/15/2022
Last Update Date: 11/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0941672711
Enrollment ID: I20230206000900

Medical Identifiers

Medical identifiers for Mr Tyrolt A Ngole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952019374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9694 (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. Mr Tyrolt A Ngole allows following entities to bill medicare on his behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Mr Tyrolt A Ngole 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 Address	Practice Location Address
Mr Tyrolt A Ngole, CNP, PMHNP 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 Ph: () -	Mr Tyrolt A Ngole, CNP, PMHNP 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 Ph: (763) 767-3350

Reviews and Comments

Nurse Practitioner Nurses in Coon Rapids, MN

Kamrie Ann Parrott, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11850 Blackfoot St Nw, Ste 130, Coon Rapids, MN 55433 Phone: 763-236-2045
Dr. Diane Elizabeth Beary, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Dr. Judith Onduso, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-8410
Rachel Margaret Bethke, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4040 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-427-9980
Miranda K Lutterman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350
Joanne M Hynes, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Suzanne L Schinzel, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11475 Robinson Dr Nw, Coon Rapids, MN 55433 Phone: 763-712-6000 Fax: 763-754-4614

Mr Tyrolt A Ngole, CNP, PMHNP - Medicare Nurse Practitioner in Coon Rapids, MN