Fadumo H Hersi
Individual provider Active NPI Women's Health Nurse Practitioner · Minneapolis, MN
NPI 1356053292 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1356053292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 9818 (MN)
- Practice address
- 3270 W Lake St
Minneapolis, MN 55416-4512 - Phone
- (612) 775-1800
- Fax
- (612) 775-1805
- NPI assigned
- Dec 22, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
3270 W Lake St
Minneapolis, MN 55416-4512
Phone (612) 775-1800
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
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 |
|---|---|---|---|---|
| I20230124000323 | MN | Practitioner - Nurse Practitioner | 0244601680 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9818 | MN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Wholemind Wellness and Psychiatry | Psychiatric/Mental Health | Current | Accepting new patients |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
20795 Keokuk Ave
Lakeville, MN 55044
Phone (952) 428-1030
3270 W Lake St
Minneapolis, MN 55416
Phone (612) 775-1800
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
3024 Snelling Ave
Minneapolis, MN 55406
Phone (612) 728-1800
7920 Old Cedar Ave S
Minneapolis, MN 55425
Phone (952) 428-1800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 9818 | MN | |
| Women's Health Nurse Practitioner | 363LW0102X | 9818 | MN | Yes |
Addresses
Primary practice location
3270 W Lake St
Minneapolis, MN 55416-4512
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fhersi618067@excellian.direct.allina.com | Direct |
Other providers in Minneapolis, MN
- Laura J. Herrmann
- Tambra J Herrmann
- Melissa Tooman Herron
- Evan Herschi
- Balqiis Hersi
- Fardows Hersi
- Huda Hersi
- Ismail Hersi
- Jaweriya Osman Hersi
- Miski Ali Hersi
All providers in Minneapolis, MN · Women's Health 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 Mar 23, 2026. 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.