Bashir Aden Ahmed, FNP
Individual provider Active NPI Family Nurse Practitioner · Fridley, MN
NPI 1225657604 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1225657604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 8036 (MN)
- Practice address
- 6341 University Ave NE
Fridley, MN 55432-4946 - Phone
- (763) 586-5888
- NPI assigned
- Apr 15, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fairview Clinics
Practice addresses (Care Compare)
6341 University Ave NE
Fridley, MN 55432-4946
Phone (763) 572-5700
Hospital & facility affiliations
- M Health Fairview St John'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20210607000240 | MN | Practitioner - Nurse Practitioner | 6103248943 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Matrix Medical Plus | Current |
Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702
6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
Interoperability endpoints
- bahmed795753@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | CNP201108 | ME | |
| Family Nurse Practitioner | 363LF0000X | CNP201108 | ME | |
| Family Nurse Practitioner | 363LF0000X | 8036 | MN | Yes |
Addresses
Primary practice location
6341 University Ave NE
Fridley, MN 55432-4946
Mailing address
1700 University Ave W FL 6
Saint Paul, MN 55104-3727
Phone (612) 672-6000
Other practice location 1
425 20th Ave S
Minneapolis, MN 55454-4400
Phone (612) 332-4973
Other providers in Fridley, MN
- Zeeshan Ahmad
- Abdirahman Ahmed
- Abdirahman Dahir Ahmed
- Aisha Hjiawal Ahmed
- Ayan Abdirizak Ahmed
- Farhiyo Abdullahi Ahmed
- Habsa Muhudiin Ahmed
- Hibo Mohamoud Ahmed
- Hodan Ahmed
- Isra Ahmed
All providers in Fridley, 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 Jan 23, 2024. 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.