Individual provider Active NPI

Mohamed Farah, FNP-BC

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1891243358
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12473 Issued in MN
Practice address
2218 E Lake St
Minneapolis, MN 55407-5095
Phone
(612) 800-2839
NPI assigned
Sep 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP161085 ME
Registered Nurse 163W00000X RN52206 ME
Family Nurse Practitioner 363LF0000X 12473 MN Primary

Addresses

Primary practice location

2218 E Lake St
Minneapolis, MN 55407-5095

Mailing address

2218 E Lake St
Minneapolis, MN 55407-5095
Phone (612) 800-2839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, VT, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161115000524 ME Practitioner - Nurse Practitioner 3173802147 Reassigns benefits to 3 organizations
I20260619001223 VT Practitioner - Nurse Practitioner 3173802147 Reassigns benefits to 1 organization
I20260626002072 MN Practitioner - Nurse Practitioner 3173802147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2218 E Lake St
Minneapolis, MN 55407-5095
Phone (612) 800-2839

Hospital & facility affiliations

  • St Mary'S Regional Medical Center Hospital, Lewiston, ME, CCN 200034

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN52206MEMDRegistered Nurse
12473MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trucare Urgent Care LLC CurrentSince Mar 11, 2025 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Jan 1, 2024 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Trucare Clinic LLC CurrentSince Mar 11, 2025 Accepting new patients
Familyfirst Health Clinic and Urgent Care Family CurrentSince Jun 18, 2026 Accepting new patients
Nes Medical Services of New England Inc CurrentSince Sep 26, 2023 Accepting new patients

Locations

91 Campus Ave
Lewiston, ME 04240
Phone (207) 777-8950

102 Campus Ave
Lewiston, ME 04240
Phone (207) 777-4200

100 Campus Ave
Ste 208
Lewiston, ME 04240
Phone (207) 777-8974

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

1527 E Lake St
Ste 1
Minneapolis, MN 55407
Phone (612) 345-7175

2218 E Lake St
Minneapolis, MN 55407

Interoperability endpoints

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

Organizations & group practices 8

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1891243358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 E LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554075095",
            "telephone_number": "612-800-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 E LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554075095",
            "telephone_number": "612-800-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAH",
        "first_name": "MOHAMED",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-13",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP161085",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN52206",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.