Individual provider Active NPI

Sadiya Abdirahman Esse

  • Family Nurse Practitioner
  • Maple Grove, MN
National Provider Identifier
1619587193
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9072 Issued in MN
Practice address
6300 Wedgwood Rd N
Maple Grove, MN 55311-3647
Phone
(763) 551-1251
NPI assigned
Aug 9, 2020
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9072 MN Primary
Gerontology Nurse Practitioner 363LG0600X 9072 MN

Addresses

Primary practice location

6300 Wedgwood Rd N
Maple Grove, MN 55311-3647

Mailing address

6300 Wedgwood Rd N
Maple Grove, MN 55311-3647
Phone (612) 203-9655

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
I20221014002219 MN Practitioner - Nurse Practitioner 8527434679 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Cities Health Center IncGroup PAC ID 5799696621, 12 clinicians

Practice addresses (Care Compare)

916 Rice St
Saint Paul, MN 55117-5425
Phone (651) 290-9211

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
83.31
Improvement activities
40
Cost
83.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9072MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Open Cities Health Center, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Minuteclinic Diagnostic of Minnesota, P.a. Family CurrentSince Aug 12, 2024 Accepting new patients
Open Cities Health Center, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Theoria Medical CurrentSince Nov 8, 2024 Accepting new patients
Theoria Medical Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

6300 Wedgwood Rd N
Maple Grove, MN 55311
Phone (763) 551-1215

1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000

5430 Boone Ave N
New Hope, MN 55428
Phone (763) 492-3000

409 Dunlap St N
Saint Paul, MN 55104
Phone (651) 290-9200

916 Rice St
Saint Paul, MN 55117
Phone (651) 290-9200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDHIBD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1619587193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEDGWOOD RD N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113647",
            "telephone_number": "612-203-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEDGWOOD RD N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113647",
            "telephone_number": "763-551-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSE",
        "first_name": "SADIYA",
        "middle_name": "ABDIRAHMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9072",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "9072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.