IDRISS HASSAN IBRAHIM CNP
NPI 1336525666
Nurse Practitioner - Family in Minneapolis, MN
About Idriss Hassan Ibrahim Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDRISS HASSAN IBRAHIM CNP (NPI 1336525666) is an individual family provider in Minneapolis, 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
Specialties & Licenses
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
Idriss Hassan 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.
Medicare Billing Reassignment
Medicare enrollment records show Idriss Ibrahim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
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 55404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55404
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 1113 E Franklin Ave Ste 106, Minneapolis, MN 55404. The listed phone number is (507) 530-6028.
What is Idriss Ibrahim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
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.
Which organization bills Medicare for Idriss Ibrahim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Idriss Ibrahim reassigns Medicare benefits to Mecca Medical Center, LLC (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 Idriss Ibrahim'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 Idriss Ibrahim was last updated on October 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Idriss Hassan Ibrahim, CNP · NPI 1336525666
Family physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since August 10, 2015.
## Identity
- **NPI:** 1336525666 (Entity type: Individual)
- **Enumerated:** August 10, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 6251 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1113 E FRANKLIN AVE STE 106, Minneapolis, MN 55404-2978
- **Phone:** (507) 530-6028
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mecca Medical Center, LLC (NPI 1336790864, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336525666) · Data from the CMS NPPES public registry.