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ADVANCED CARE CLINIC LLC
NPI 1174391940
Nurse Practitioner - Family in Minneapolis, MN

Active since December 12, 2023
1317 E LAKE ST STE 4, MINNEAPOLIS, MN 55407(612) 285-3417(612) 254-8247 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Care Clinic Llc NPPES

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

ADVANCED CARE CLINIC LLC (NPI 1174391940) is a healthcare organization registered as a family in Minneapolis, Minnesota and active in the NPI registry since December 2023. The organization lists Ifrah A Abdullahi, Owner, as its authorized official.

NPPES Registry Identity

NPI1174391940
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameADVANCED CARE CLINIC LLC
Location Address1317 E LAKE ST STE 4Minneapolis, MN 55407-6601
Mailing Address1317 E Lake St Ste 4Minneapolis, MN 55407-6601
Phone(612) 285-3417
Fax(612) 254-8247
Organization SubpartNo
Authorized OfficialIfrah A AbdullahiOwner · (612) 285-3417
Enumeration DateDecember 12, 2023
Last NPPES UpdateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
✔ NPI 1174391940 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
1317 E LAKE ST STE 4, Minneapolis, MN 55407
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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 Advanced Care Clinic LLC's NPI number?

The NPI number for Advanced Care Clinic LLC is 1174391940. It was assigned to this organization in the NPPES registry on December 12, 2023.

Where is Advanced Care Clinic LLC located?

Advanced Care Clinic LLC is located at 1317 E Lake St Ste 4, Minneapolis, MN 55407. The listed phone number is (612) 285-3417.

What is Advanced Care Clinic LLC's specialty?

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

What insurance does Advanced Care Clinic LLC accept?

Health plans from Medica list Advanced Care Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Care Clinic LLC was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.