Shareef W Omar-Taylor, APRN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12513 Issued in MN

Practice address

800 Freeport Ave NW Ste 100
Elk River, MN 55330-2723

Phone

(763) 581-5200

NPI assigned

Feb 3, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• North Memorial Health Care

  • General Acute Care Hospital
  • Robbinsdale, MN
  • NPI 1851344907
  Medicare reassignment Care Compare group NPD
• The Neighborhood NP LLC

  • Urgent Care Clinic/Center
  • Minneapolis, MN
  • NPI 1396680773
  Medicare reassignment NPD Authorized official
• North Memorial Health Care

  • Clinic/Center
  • Blaine, MN
  • NPI 1841995552
  NPD
• North Memorial Health Care

  • Medical Specialty Clinic/Center
  • Robbinsdale, MN
  • NPI 1871927715
  NPD

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1841004553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FREEPORT AVE NW STE 100",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302723",
            "telephone_number": "763-581-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FREEPORT AVE NW STE 100",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302723",
            "telephone_number": "763-581-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR-TAYLOR",
        "first_name": "SHAREEF",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph J Olson, CPHT
• Kaitlyn Elizabeth Olson
• Mara Isabelle Olson
• Patricia Olson, M.A.
• Paul Christian Olson, MS CCC-SLP
• Opportunity Partners Inc.
• Opportunity Partners Inc.
• Ornate Mental Health Services LLC
• Brooke Anne Orth
• Henry James Padgett, GNP

• Family Nurse Practitioner in Elk River, MN
• Providers in Elk River, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.