Individual provider Active NPI

Faiso Abdulle, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Bloomington, MN
National Provider Identifier
1184921264
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7844 Issued in MN
Practice address
8936 Lyndale Ave S
Bloomington, MN 55420-2742
Phone
(952) 881-0163
NPI assigned
Feb 25, 2011
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 7844 MN Primary

Addresses

Primary practice location

8936 Lyndale Ave S
Bloomington, MN 55420-2742

Mailing address

6300 Wedgwood Rd N
Maple Grove, MN 55311-3647
Phone (763) 551-1215

Other names 1

  • Faiso Abdulle Professional name

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
I20210721003104 MN Practitioner - Nurse Practitioner 7517360035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Primary Care Minnesota PLLCGroup PAC ID 2163945460, 30 clinicians
Minuteclinic Diagnostic of Minnesota PAGroup PAC ID 7810289949, 83 clinicians

Practice addresses (Care Compare)

8936 Lyndale Ave S
Bloomington, MN 55420-2742
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7844MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Minnesota PLLC Family CurrentSince Feb 19, 2026 Accepting new patients
Arya Pathways LLC CurrentSince Oct 8, 2025 Accepting new patients
Aatria Healthcare LLC Current Accepting new patients
Rayaf Health LLC PastSince Jun 29, 2025 Accepting new patients

Locations

6300 Wedgwood Rd N
Maple Grove, MN 55311
Phone (763) 551-1215

1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000

8936 Lyndale Ave S
Minneapolis, MN 55420
Phone (952) 881-0163

1970 Oakcrest Ave
Ste 203
Roseville, MN 55113
Phone (612) 599-7605

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1184921264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEDGWOOD RD N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113647",
            "telephone_number": "763-551-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 LYNDALE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202742",
            "telephone_number": "952-881-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLE",
        "first_name": "FAISO",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAISO",
            "last_name": "ABDULLE",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.