Active NPI
Faiza Omar Elmi, CNP
- Family Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1316807498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12924
- Practice address
- 153 Cesar Chavez St
Saint Paul, MN 55107-2226 - Phone
- (651) 602-7500
- NPI assigned
- Nov 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12924 | MN | Primary |
Addresses
Primary practice location
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Mailing address
2803 129TH Avenue Northeast
Blaine, MN 55449
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251126001114 | MN | Practitioner - Nurse Practitioner | 8123510195 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Side Community Health Services, Inc.
Practice addresses (Care Compare)
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Phone (651) 602-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12924 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients |
Locations
895 7th St E
Saint Paul, MN 55106
Phone (651) 793-2250
153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816
Organizations & group practices 17
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.
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1821149964
MN
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- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1104977255
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1194902072
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1295886208
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1437118619
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1023201811
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1083765135
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1205397395
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1407049653
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1427106871
-
- Federally Qualified Health Center (FQHC)
- St Paul, MN
- NPI 1457475543
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1649394727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1316807498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 129TH AVENUE NORTHEAST",
"city": "BLAINE",
"state": "MN",
"postal_code": "55449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 CESAR CHAVEZ ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551072226",
"telephone_number": "651-602-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMI",
"first_name": "FAIZA",
"middle_name": "OMAR",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-12",
"last_updated": "2025-11-12",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "12924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.