Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kalisa Rurinda Ndikubwimana, DNP-CNP

Individual provider Nurse Practitioner · NPI 1427929124

Kalisa Rurinda Ndikubwimana, DNP-CNP is a Nurse Practitioner in Maplewood, Minnesota. Qualified in 2025, 1 year ago. Practices with Andrew J Will MD PA, a 36-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1725 Legacy Pkwy E Ste 100
Maplewood, MN 55109-5434
Phone: (952) 234-8580
Fax: (952) 841-2346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 13025 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 13025 (MN)

Record details

NPI number1427929124
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP-CNP
Sole proprietorYes
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Andrew J Will Md Pa — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Maplewood