Individual provider Active NPI

Ubah Keynan, FNP

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1376212761
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8331 Issued in MN
Practice address
525 Portland Ave # Mc963
Minneapolis, MN 55415-1533
Phone
(612) 348-5553
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 8331 MN Primary

Addresses

Primary practice location

525 Portland Ave # Mc963
Minneapolis, MN 55415-1533

Mailing address

525 Portland Ave # Mc963
Minneapolis, MN 55415-1533
Phone (612) 348-5553

Other practice location 1

2301 Central Ave NE
Minneapolis, MN 55418-3709
Phone (612) 588-9411

Other practice location 2

1516 E Lake St Ste 1512
Minneapolis, MN 55407-1997
Phone (612) 345-4929

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
I20230605002131 MN Practitioner - Nurse Practitioner 4981061058 Reassigns benefits to 2 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
Hennepin CountyGroup PAC ID 7911892849, 132 clinicians

Practice addresses (Care Compare)

1009 E 14TH St
Minneapolis, MN 55404-1314
Phone (612) 348-5553

1516 E Lake St
Suite 1512
Minneapolis, MN 55407-1720
Phone (612) 345-4929

165 Glenwood Ave
Minneapolis, MN 55405-1618
Phone (612) 348-5553

2740 1St Ave S
Minneapolis, MN 55408-1611
Phone (612) 348-5553

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8331MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medina Medical Clinic & Urgent Care CurrentSince May 10, 2024 Accepting new patients
Hennepin County CurrentSince Sep 8, 2025 Accepting new patients
Hennepin County CurrentSince Sep 8, 2025 Accepting new patients
Hennepin County Current Accepting new patients

Locations

525 Portland Ave
Minneapolis, MN 55415
Phone (612) 348-8824

9600 Aldrich Ave S
#658
Minneapolis, MN 55420

525 Portland Ave
#963
Minneapolis, MN 55415
Phone (612) 348-2233

1516 E Lake St
Ste 1512
Minneapolis, MN 55407
Phone (612) 345-4929

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1376212761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 PORTLAND AVE # MC963",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151533",
            "telephone_number": "612-348-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 PORTLAND AVE # MC963",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151533",
            "telephone_number": "612-348-5553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Central Ave NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554183709",
            "country_code": "US",
            "telephone_number": "612-588-9411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 E Lake St Ste 1512",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554071997",
            "country_code": "US",
            "telephone_number": "612-345-4929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYNAN",
        "first_name": "UBAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.