Anisa Mohamed Abshir
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Willmar, MN
NPI 1912465204 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1912465204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1301 33Rd St SW
Willmar, MN 56201 - Phone
- (320) 231-5000
- NPI assigned
- Mar 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MN | Yes |
Addresses
Primary practice location
1301 33Rd St SW
Willmar, MN 56201
Mailing address
1301 33Rd St SW
Willmar, MN 56201
Phone (320) 231-5000
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All providers in Willmar, MN · Student in an Organized Health Care Education/Training Program in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.