WARIS MOHAMUD ABDI
NPI 1174234942
Nurse Practitioner - Family in Saint Paul, MN

Active since December 12, 2022PECOS EnrolledAccepts Medicare Assignment
1021 BANDANA BLVD E STE 100, SAINT PAUL, MN 55108(516) 241-9700(651) 241-9683 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2023, Feb 21, 2023, Dec 12, 2022 (3 updates tracked since 2022).

About Waris Mohamud Abdi NPPES

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

WARIS MOHAMUD ABDI (NPI 1174234942) is an individual family provider in Saint Paul, Minnesota, licensed in Minnesota (F1022131) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and maintains a secondary practice location in Lakeville.

NPPES Registry Identity

NPI1174234942
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameWARIS MOHAMUD ABDI
Location Address1021 BANDANA BLVD E STE 100Saint Paul, MN 55108-5109
Mailing Address7255 181st St WLakeville, MN 55044-2304 · (612) 249-2162
Fax(651) 241-9683
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 12, 2022
Last NPPES UpdateJune 7, 20233 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1174234942 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 · F1022131
1021 BANDANA BLVD E STE 100, Saint Paul, MN 55108

Secondary Practice Location 1

Location 17255 181st St W, apt 113Lakeville, MN 55044-2304 · Phone (619) 855-7078

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Waris Mohamud Abdi 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 ID8426421777
PECOS Enrollment IDI20230307001777
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 Reassignments

4

Medicare enrollment records show Waris Abdi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1021 BANDANA BLVD E, STE 100
St Paul, MN 55108
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group
Clinic/Center
1390 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Critical Access
1900 SUNRISE DR
St Peter, MN 56082
  • Reassigned Medicare billing, Minnesota enrollment
  • 57 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services100 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
26 services24 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
22 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services16 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55108 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 20

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

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Dermatology
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Otolaryngology
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Family Medicine
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Audiologist
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Podiatrist
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Family Medicine
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Audiologist
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108

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 Waris Abdi's NPI number?

The NPI number for Waris Abdi is 1174234942. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Where is Waris Abdi located?

Waris Abdi practices at 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108. The listed phone number is (516) 241-9700.

What is Waris Abdi's specialty?

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

Is Waris Abdi enrolled in Medicare?

Yes. Waris Abdi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Waris Abdi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Waris Abdi reassigns Medicare benefits to 4 organizations: Allina Health System (St Paul, MN), Healtheast Medical Research Institute (Saint Paul, MN), Fairview Health Services (Minneapolis, MN) and River's Edge Hospital & Clinic (St Peter, MN). Each 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 Waris Abdi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Waris Abdi affiliated with any hospitals?

According to CMS data, Waris Abdi is affiliated with M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Waris Abdi was last updated on June 7, 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.