Ernestine Mambo, - Medicare Nurse Practitioner in Anoka, MN

Ernestine Mambo, is a medicare enrolled "Nurse Practitioner - Family" in Anoka, Minnesota. Her current practice location is 3301 7th Ave, Anoka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 431-5000.

Ernestine Mambo is licensed to practice in Minnesota (license number CNP4350) 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 1801240205.

Contact Information

Ernestine Mambo,
3301 7th Ave,
Anoka, MN 55303-4516
(651) 431-5000
Not Available



Provider's Profile

Full NameErnestine Mambo
GenderFemale
SpecialityNurse Practitioner - Family
Location3301 7th Ave, Anoka, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801240205
  • Provider Enumeration Date: 04/21/2016
  • Last Update Date: 04/25/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5294094272
  • Enrollment ID: I20180119001651

Medical Identifiers

Medical identifiers for Ernestine Mambo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801240205NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CNP4350 (Minnesota)Primary

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. Ernestine Mambo 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
Ernestine Mambo,
13100 Bittersweet St Nw,
Minneapolis, MN 55448-1210

Ph: (651) 408-5286
Ernestine Mambo,
3301 7th Ave,
Anoka, MN 55303-4516

Ph: (651) 431-5000

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› Verified 3 days ago


Nurse Practitioner Nurses in Anoka, MN

Haron Nyakundi Manwa,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3301 7th Ave, Anoka, MN 55303
Phone: 651-431-5000    
Akhsa Simonovich, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3924 193rd Ln Nw, Anoka, MN 55303
Phone: 763-438-1449    
Jessica Kenser,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 601 Jacob Ln, Anoka, MN 55303
Phone: 952-883-5790    
Addie Noel Ketelsen, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7231 Sunwood Dr Nw, Anoka, MN 55303
Phone: 763-236-0000    
Mary Stephens, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 601 Jacob Ln, Anoka, MN 55303
Phone: 763-587-4200    Fax: 763-587-4205
Ms. Elaine Hedlund Fitzgerald, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3301 7th Avenue North, Anoka, MN 55303
Phone: 651-431-5179    
Jill Maria Scott, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 630 E Main St, Anoka, MN 55303
Phone: 763-712-1903    Fax: 763-712-1917

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