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IDRISS IBRAHIM CNP
NPI 1336525666
Family Medicine in Marshall, MN

Active since August 10, 2015PECOS EnrolledAccepts Medicare Assignment
309 E COLLEGE DR, MARSHALL, MN 56258(507) 530-6028 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2020, Mar 12, 2020, Feb 21, 2020 and 1 more (4 updates tracked since 2018).

About Idriss Ibrahim Cnp NPPES

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

IDRISS IBRAHIM CNP (NPI 1336525666) is an individual family medicine provider in Marshall, Minnesota, licensed in Minnesota (6251) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336525666
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameIDRISS IBRAHIMCredential: CNP
Location Address309 E COLLEGE DRMarshall, MN 56258-2379
Mailing Address1120 Birch St Apt 2Marshall, MN 56258-1550 · (507) 530-6028
Phone(507) 530-6028
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 10, 2015
Last NPPES UpdateApril 16, 20204 updates tracked since enumeration
NPPES CertifiedApril 16, 2020
✔ NPI 1336525666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 6251
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
309 E COLLEGE DR, Marshall, MN 56258
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Accepted Insurance

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

Idriss Ibrahim Cnp 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 ID9537594288
PECOS Enrollment IDI20200416000687
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 56258 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.

MECCA MEDICAL CENTER, LLC
Family Medicine
309 E COLLEGE DR
MARSHALL, MN 56258
Lyon County (507) 530-6028

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 Idriss Ibrahim's NPI number?

The NPI number for Idriss Ibrahim is 1336525666. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Where is Idriss Ibrahim located?

Idriss Ibrahim practices at 309 E College Dr, Marshall, MN 56258. The listed phone number is (507) 530-6028.

What is Idriss Ibrahim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Idriss Ibrahim enrolled in Medicare?

Yes. Idriss Ibrahim 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.

What insurance does Idriss Ibrahim accept?

Health plans from Medica list Idriss Ibrahim 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 Idriss Ibrahim was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.