Individual provider Active NPI

Inas Muhidine

  • Family Nurse Practitioner
  • Fridley, MN
National Provider Identifier
1952921769
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7336 Issued in MN
Practice address
7362 University Ave NE # S206
Fridley, MN 55432-3142
Phone
(612) 889-9388
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7336 MN Primary

Addresses

Primary practice location

7362 University Ave NE # S206
Fridley, MN 55432-3142

Mailing address

7362 University Ave NE # S206
Fridley, MN 55432-3142
Phone (612) 889-9388

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
I20200811002380 MN Practitioner - Nurse Practitioner 4486070299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4784 Amber Valley Pkwy S
Fargo, ND 58104-8614

811 2ND St SE
Little Falls, MN 56345-3559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7336MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Family Healthcare Current Accepting new patients
Unity Family Healthcare CurrentSince Jun 29, 2020 Accepting new patients
Cham Clinic Current Accepting new patients
Unity Family Healthcare CurrentSince Jun 29, 2020 Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

941 Hillwind Rd NE
Ste 100A
Fridley, MN 55432
Phone (763) 657-0569

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000

Interoperability endpoints

  • Direct secure messaging: imuhidine526005@direct.centracare.com
  • Direct secure messaging: inas.muhidine.1@22840.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22840/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1952921769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE # S206",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323142",
            "telephone_number": "612-889-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE # S206",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323142",
            "telephone_number": "612-889-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHIDINE",
        "first_name": "INAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

Verify at the official NPI Registry.