Mohammed Azeemuddin, APRN, CNP
Individual provider Active NPI Family Nurse Practitioner · Baxter, MN
NPI 1144693169 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1144693169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP4943 (MN)
- Practice address
- 13060 Isle Dr
Baxter, MN 56425-8331 - Phone
- (218) 828-2880
- NPI assigned
- Nov 13, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health of Northern Minnesota
Practice addresses (Care Compare)
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
Hospital & facility affiliations
- Sanford Bemidji Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160104001131 | IL | Practitioner - Nurse Practitioner | 1951603240 | Reassigns benefits to 2 organizations |
| I20161229001732 | MN | Practitioner - Nurse Practitioner | 1951603240 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP4943 | MN | MD | Family Nurse Practitioner |
| 201704860NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnow Urgent Care, PC | Current |
Accepting new patients | |
| Sanford Health of Northern Minnesota | Current |
Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Rush Oak Park ER Physicians Group | Current |
Accepting new patients | |
| Sanford Health of Northern Minnesota | Current |
Accepting new patients |
Locations
75 Remittance Dr
Dept 1620
Chicago, IL 60675
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201704860NP-PP | OR | |
| Family Nurse Practitioner | 363LF0000X | CNP4943 | MN | Yes |
| Nurse Practitioner | 363L00000X | 4943 | MN | |
| Family Nurse Practitioner | 363LF0000X | 209013457 | IL |
Addresses
Primary practice location
13060 Isle Dr
Baxter, MN 56425-8331
Mailing address
13060 Isle Dr
Baxter, MN 56425-8331
Phone (218) 828-2880
Other providers in Baxter, MN
- Melissa Ash
- Associates in Eyecare
- Axness Chiropractic PLLC
- Angela Mae Axness
- Arik James Axness
- Andrew Bader
- Kaitlin Kristine Bakker
- Christopher Ball
- Brianne Joan Baloga
- Sophie Samantha Balster
All providers in Baxter, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.