NIMO SALEBAN ABDI
NPI 1114477858
Nurse Practitioner - Family in Eden Prairie, MN

Q: What is Nimo Abdi's NPI number?

The NPI number for Nimo Abdi is 1114477858. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Q: What is Nimo Abdi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nimo Abdi was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 05, 2016PECOS Enrolled

10067 GRISTMILL RDG, EDEN PRAIRIE, MN 55347(612) 226-2747(612) 465-4884 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Nimo Saleban Abdi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIMO SALEBAN ABDI (NPI 1114477858) is an individual family provider in Eden Prairie, Minnesota, licensed in Minnesota (CNP 4835) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114477858

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNIMO SALEBAN ABDI

Location Address10067 GRISTMILL RDGEden Prairie, MN 55347-4761

Mailing Address10067 Gristmill RdgEden Prairie, MN 55347-4761 · (612) 226-2747 · Fax (612) 465-4884

Phone(612) 226-2747

Fax(612) 465-4884

Sole ProprietorNo

Enumeration DateOctober 5, 2016

Last NPPES UpdateMay 26, 2023

NPPES CertifiedMay 26, 2023

✔ NPI 1114477858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · CNP 4835

10067 GRISTMILL RDG, Eden Prairie, MN 55347

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nimo Saleban Abdi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nimo Abdi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gargar Urgent Care And Clinic

14 mi

Clinic/Center

2711 E FRANKLIN AVE
Minneapolis, MN 55406

Reassigned Medicare billing, Minnesota enrollment
11 clinicians in this Medicare group

NPI 1144523622 (612) 339-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55347 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NURA MOBILE MEDICINE LLC

Clinic/Center (Urgent Care)

10067 GRISTMILL RDG
EDEN PRAIRIE, MN 55347

Hennepin County (612) 226-2747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nimo Abdi's NPI number?

The NPI number for Nimo Abdi is 1114477858. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Where is Nimo Abdi located?

Nimo Abdi practices at 10067 Gristmill Rdg, Eden Prairie, MN 55347. The listed phone number is (612) 226-2747.

What is Nimo Abdi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nimo Abdi enrolled in Medicare?

Yes. Nimo Abdi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nimo Abdi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nimo Abdi reassigns Medicare benefits to Gargar Urgent Care And Clinic (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nimo Abdi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nimo Abdi was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.