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JAWAHER TAHER
NPI 1225876956
Nurse Practitioner - Family in Shakopee, MN

Active since July 17, 2024PECOS Enrolled
161 POTTOK LN, SHAKOPEE, MN 55379(952) 393-2229 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2026, Jul 17, 2024 (2 updates tracked since 2024).

About Jawaher Taher NPPES

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

JAWAHER TAHER (NPI 1225876956) is an individual family provider in Shakopee, Minnesota, licensed in Minnesota (F07240065) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225876956
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAWAHER TAHER
Location Address161 POTTOK LNShakopee, MN 55379-4710
Mailing Address161 Pottok LnShakopee, MN 55379-4710 · (952) 393-2229
Phone(952) 393-2229
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 17, 2024
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1225876956 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 · F07240065
161 POTTOK LN, Shakopee, MN 55379
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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)

Jawaher Taher is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830686773
PECOS Enrollment IDI20251014004527
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 Jawaher Taher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sama Healthcare
17 mi
Family Medicine
2639 NICOLLET AVE.,, SUITE 130
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
  • 8 clinicians in this Medicare group
NPI 1376906388 (612) 886-2686

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 55379 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.

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 Jawaher Taher's NPI number?

The NPI number for Jawaher Taher is 1225876956. It was assigned to this individual provider in the NPPES registry on July 17, 2024.

Where is Jawaher Taher located?

Jawaher Taher practices at 161 Pottok Ln, Shakopee, MN 55379. The listed phone number is (952) 393-2229.

What is Jawaher Taher's specialty?

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

Is Jawaher Taher enrolled in Medicare?

Yes. Jawaher Taher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jawaher Taher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jawaher Taher reassigns Medicare benefits to Sama Healthcare (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 Jawaher Taher'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 Jawaher Taher was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.