Individual provider Active NPI

Mariam Farah, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomington, MN
National Provider Identifier
1770447898
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13744 Issued in MN
Practice address
7760 France Ave S FL 11
Bloomington, MN 55435-5800
Phone
(612) 205-7792
NPI assigned
Dec 12, 2025
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13744 MN Primary

Addresses

Primary practice location

7760 France Ave S FL 11
Bloomington, MN 55435-5800

Mailing address

7760 France Ave S FL 11
Bloomington, MN 55435-5800

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
I20260203001379 MN Practitioner - Nurse Practitioner 5496278954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7760 France Ave S
FL 11
Bloomington, MN 55435-5800

7760 France Ave S FL
Suite 11
Bloomington, MN 55435-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13744MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Wound Care LLC Current Accepting new patients
Blooming Ridge LLC Current Accepting new patients
Stonebridge Mental Health LLC Psychiatric/Mental Health CurrentSince Dec 15, 2025 Accepting new patients

Locations

7760 France Ave S
Fl 11
Minneapolis, MN 55435
Phone (612) 205-7792

8500 Normandale Lake Blvd
Ste 350
Minneapolis, MN 55437
Phone (612) 405-9412

Organizations & group practices 3

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": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1770447898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 FRANCE AVE S FL 11",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 FRANCE AVE S FL 11",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355800",
            "telephone_number": "612-205-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAH",
        "first_name": "MARIAM",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-12",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "13744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.