Individual provider Active NPI

Nasro Abdulkadir Ahmed, DNP, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Bloomington, MN
National Provider Identifier
1275197014
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6563 Issued in MN
Practice address
1701 American Blvd E Ste 16
Bloomington, MN 55425-1401
Phone
(612) 501-1448
Fax
(612) 484-4198
NPI assigned
Apr 26, 2019
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP.AP.61647024-NP WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6563 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201775 ND
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 6563 MN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10037453 OR
Family Nurse Practitioner 363LF0000X 358988 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 115907 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1163259 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0040939 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G182467 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 408169 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP241787 ME

Addresses

Primary practice location

1701 American Blvd E Ste 16
Bloomington, MN 55425-1401

Mailing address

7101 York Ave S Ste 345
Edina, MN 55435-4409
Phone (612) 501-1448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 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
I20191114001198 MN Practitioner - Nurse Practitioner 7416389390 Reassigns benefits to 5 organizations
I20251215002169 TX Practitioner - Nurse Practitioner 7416389390 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PAGroup PAC ID 3678948809, 92 clinicians
Texana CenterGroup PAC ID 7618963265, 23 clinicians

Practice addresses (Care Compare)

Saint Paul, MN 55116
Phone (415) 360-3348

4910 Airport Ave
Rosenberg, TX 77471-5759
Phone (281) 239-1300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6563MNMDChiropractor
358988NYMDFamily Nurse Practitioner
G182467IAMDPsychiatric/Mental Health Nurse Practitioner
CNP241787MEMDPsychiatric/Mental Health Nurse Practitioner
201775NDMDPsychiatric/Mental Health Nurse Practitioner
115907NEMDPsychiatric/Mental Health Nurse Practitioner
408169NYMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.0040939OHMDPsychiatric/Mental Health Nurse Practitioner
10037453ORMDPsychiatric/Mental Health Nurse Practitioner
1163259TXMDPsychiatric/Mental Health Nurse Practitioner
ARNP.AP.61647024-NPWAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Gulf Coast Center Multi-Specialty CurrentSince Feb 18, 2026 Accepting new patients
Matrix Medical Plus Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
Burke Center Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
Asap Care Path LLC Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
Heart of Texas Region MHMR Center Multi-Specialty CurrentSince Nov 17, 2025 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation Multi-Specialty CurrentSince Nov 10, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Multi-Specialty CurrentSince Dec 8, 2021 Accepting new patients
Mental Health Specialty Group PA Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients
Texana Center Multi-Specialty CurrentSince Nov 21, 2025 Accepting new patients
Burke Center Multi-Specialty PastSince Nov 1, 2025 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1701 American Blvd E
Ste 16
Bloomington, MN 55425
Phone (612) 605-1621

7101 York Ave S
Ste 345
Edina, MN 55435
Phone (612) 202-0535

121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702

729 Washington Ave N
Ste 600
Minneapolis, MN 55401
Phone (334) 463-3099

1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4444 W Main St
League City, TX 77573
Phone (281) 640-0218

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

5311 Avenue N
Rosenberg, TX 77471
Phone (214) 202-9356

601 N Frio St
San Antonio, TX 78207
Phone (210) 246-1330

6800 Park Ten Blvd
Ste 200S
San Antonio, TX 78213
Phone (210) 261-1042

7510 FM 1765
Texas City, TX 77591
Phone (409) 935-6083

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1275197014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 345",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354409",
            "telephone_number": "612-501-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 AMERICAN BLVD E STE 16",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251401",
            "telephone_number": "612-501-1448",
            "fax_number": "612-484-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "NASRO",
        "middle_name": "ABDULKADIR",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "ARNP.AP.61647024-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "6563",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "201775",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6563",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10037453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358988",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "115907",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1163259",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0040939",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G182467",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "408169",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP241787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.