Individual provider Active NPI

Amina Adan Mohamed, APRN, CNP

  • Primary Care Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1144866336
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
7941 Issued in MN
Practice address
2810 Nicollet Ave
Minneapolis, MN 55408-4708
Phone
(612) 873-6963
Fax
(612) 545-9049
NPI assigned
Nov 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7941 MN
Family Nurse Practitioner 363LF0000X 7941 MN
Primary Care Nurse Practitioner 363LP2300X 7941 MN Primary

Addresses

Primary practice location

2810 Nicollet Ave
Minneapolis, MN 55408-4708

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000

Other practice location 1

309 Holly Ln
Mankato, MN 56001-5422
Phone (507) 344-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200313001171 OH Practitioner - Nurse Practitioner 8123456720 Reassigns benefits to 1 organization
I20220802003551 MN Practitioner - Nurse Practitioner 8123456720 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthsourceGroup PAC ID 9133199953, 16 clinicians

Practice addresses (Care Compare)

3300 Fremont Ave N
Minneapolis, MN 55412-2405
Phone (612) 588-9411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7941MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Dec 5, 2022 Accepting new patients
Access Clinic and Urgent Care CurrentSince Dec 16, 2024 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Apr 21, 2022 Accepting new patients
Neighborhood Healthsource CurrentSince Oct 31, 2024 Accepting new patients
Neighborhood Healthsource CurrentSince Oct 31, 2024 Accepting new patients
Group Health, Inc. Current Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Hennepin Healthcare System Inc CurrentSince Apr 21, 2022 Accepting new patients
Group Health, Inc. CurrentSince Dec 5, 2022 Accepting new patients
Alta Homes LLC Current Accepting new patients
Westland Family Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Neighborhood Healthsource Past Accepting new patients
Westland Family Care LLC PastSince Nov 13, 2022 Accepting new patients

Locations

6385 Old Shady Oak Rd
Ste 250
Eden Prairie, MN 55344
Phone (612) 226-0907

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

2810 Nicollet Ave
Minneapolis, MN 55408
Phone (612) 545-9000

3300 Fremont Ave N
Minneapolis, MN 55412
Phone (612) 588-9411

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

100 N Murray Hill Rd
Columbus, OH 43228
Phone (614) 851-1951

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1144866336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084708",
            "telephone_number": "612-873-6963",
            "fax_number": "612-545-9049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Holly Ln",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560015422",
            "country_code": "US",
            "telephone_number": "507-344-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "AMINA",
        "middle_name": "ADAN",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "7941",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7941",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "7941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.