FADUMO ISMAEL OMAR ARNP-C
NPI 1164913893
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA

Q: What is Fadumo Omar's NPI number?

The NPI number for Fadumo Omar is 1164913893. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Q: What is Fadumo Omar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Fadumo Omar was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 29, 2018PECOS EnrolledAccepts Medicare Assignment

1701 18TH AVE S, SEATTLE, WA 98144(253) 833-7444 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Fadumo Ismael Omar Arnp-c NPPES

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

FADUMO ISMAEL OMAR ARNP-C (NPI 1164913893) is an individual psychiatric/mental health provider in Seattle, Washington, licensed in Washington (AP60850885) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kent, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164913893

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameFADUMO ISMAEL OMARCredential: ARNP-C

Location Address1701 18TH AVE SSeattle, WA 98144-4317

Mailing Address325 W Gowe StKent, WA 98032-5892 · (253) 833-7444

Phone(253) 833-7444

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 29, 2018

Last NPPES UpdateJune 28, 2022

NPPES CertifiedJune 20, 2022

✔ NPI 1164913893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP60850885

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60850885 (WA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP60850885 (WA)

1701 18TH AVE S, Seattle, WA 98144

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Secondary Practice Location 1

Location 1505 Washington Ave SKent, WA 98032-5709 · Phone (253) 833-7444

Other Identifiers 1

OtherAP60850885WA · Wa Department Of Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fadumo Ismael Omar Arnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234477738

PECOS Enrollment IDI20250609000725

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98144 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier24 claims24 services$64.87 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier20 claims20 services$7.84 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$34.42 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

CATHERINE NJOGU

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