Tammy Lynn Prohofsky, APRN, CNP
NPI 1720689920ActiveIndividual· Nurse Practitioner· Eden Prairie, MN
Nurse Practitioner (APRN, CNP) with Northern Lights Health LLC, practicing in Eden Prairie, Minnesota. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1720689920 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, CNP |
| Sole proprietor | No |
| NPI issued | Nov 4, 2020 |
| Last updated in NPPES | Jul 24, 2024 |
| Certified by provider | Jul 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 7897 | MN |
| Nurse Practitioner | 363L00000X | R147035-4 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Northern Lights Health LLCWaconia, MN · 11 clinicians
Other facilities
- Adara Home Health IncHome health agency · Buffalo, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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