Individual provider Active NPI

Fardowsa Osman, FNP

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1023729381
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06221806 Issued in MN
Practice address
617 Cedar Ave S # A49
Minneapolis, MN 55454-1220
Phone
(612) 245-8475
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06221806 MN Primary

Addresses

Primary practice location

617 Cedar Ave S # A49
Minneapolis, MN 55454-1220

Mailing address

617 Cedar Ave S # A49
Minneapolis, MN 55454-1220
Phone (612) 245-8475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908000792 MN Practitioner - Nurse Practitioner 0648634709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gargar Urgent Care and ClinicGroup PAC ID 4082887575, 4 clinicians

Practice addresses (Care Compare)

2711 E Franklin Ave
Minneapolis, MN 55406-1105
Phone (612) 339-3302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F06221806MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walk-in Clinic Inc. CurrentSince Sep 1, 2023 Accepting new patients
Gargar Urgent Care and Clinic CurrentSince Oct 20, 2023 Accepting new patients
Fardullah Health Family PastSince Feb 17, 2026 Accepting new patients

Locations

2711 E Franklin Ave
Minneapolis, MN 55406
Phone (612) 339-3300

327 Cedar Ave S
Minneapolis, MN 55454
Phone (612) 294-1333

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1023729381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 CEDAR AVE S # A49",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541220",
            "telephone_number": "612-245-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 CEDAR AVE S # A49",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541220",
            "telephone_number": "612-245-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "FARDOWSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "F06221806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.