1. Home
  2. Directory
  3. Minnesota
  4. Bloomington
  5. Nurse Practitioner
  6. NPI Profile

FARTUN AHMED KEYNAN FNP, PMHNP
NPI 1255119087
Nurse Practitioner - Psychiatric/Mental Health in Bloomington, MN

Active since September 21, 2023PECOS Enrolled
4470 W 78TH STREET CIR STE 265, BLOOMINGTON, MN 55435(952) 260-3367(952) 213-4260 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2026, Apr 1, 2025 (2 updates tracked since 2025).

About Fartun Ahmed Keynan Fnp, Pmhnp NPPES

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

FARTUN AHMED KEYNAN FNP, PMHNP (NPI 1255119087) is an individual psychiatric/mental health provider in Bloomington, Minnesota, licensed in Minnesota (9850) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1255119087
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFARTUN AHMED KEYNANCredential: FNP, PMHNP
Location Address4470 W 78TH STREET CIR STE 265Bloomington, MN 55435-5408
Mailing Address425 20th Ave SMinneapolis, MN 55454-4400 · (612) 332-4973
Phone(952) 260-3367
Fax(952) 213-4260
Sole ProprietorYes
Enumeration DateSeptember 21, 2023
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1255119087 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 MN · 9850
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 2441926 (MN)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 9850 (MN)
4470 W 78TH STREET CIR STE 265, Bloomington, MN 55435
Open in Google Maps ↗

Secondary Practice Location 1

Location 1856 University Ave WSaint Paul, MN 55104-4807 · Phone (651) 665-9795 · Fax (651) 665-9796

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fartun Ahmed Keynan Fnp, Pmhnp 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 Fartun Keynan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serene Medical Clinic LLC
Same address
Psychiatry
4470 W 78TH STREET CIR STE 265
Bloomington, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1134918550 (952) 260-3367

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 55435 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.

SERENE MEDICAL CLINIC LLC
Psychiatry & Neurology (Psychiatry)
4470 W 78TH STREET CIR STE 265
BLOOMINGTON, MN 55435
Hennepin County (952) 260-3367

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 Fartun Keynan's NPI number?

The NPI number for Fartun Keynan is 1255119087. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Fartun Keynan located?

Fartun Keynan practices at 4470 W 78th Street Cir Ste 265, Bloomington, MN 55435. The listed phone number is (952) 260-3367.

What is Fartun Keynan's specialty?

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

Is Fartun Keynan enrolled in Medicare?

Yes. Fartun Keynan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fartun Keynan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fartun Keynan reassigns Medicare benefits to Serene Medical Clinic LLC (Bloomington, 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 Fartun Keynan'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 Fartun Keynan was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.