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FADUMO HASSAN ISMAIL
NPI 1336862408
Physician Assistant in Edina, MN

Active since September 22, 2022PECOS EnrolledAccepts Medicare Assignment
6545 FRANCE AVE S, EDINA, MN 55435(952) 848-5600 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2024, Sep 22, 2022 (2 updates tracked since 2022).

About Fadumo Hassan Ismail NPPES

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

FADUMO HASSAN ISMAIL (NPI 1336862408) is an individual physician assistant in Edina, Minnesota, licensed in Minnesota (14972) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2024).

NPPES Registry Identity

NPI1336862408
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameFADUMO HASSAN ISMAIL
Location Address6545 FRANCE AVE SEdina, MN 55435-2131
Mailing Address720 Washington Ave Se Ste 200Minneapolis, MN 55414-2924 · (612) 884-0600
Phone(952) 848-5600
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2024
Enumeration DateSeptember 22, 2022
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1336862408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 14972
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6545 FRANCE AVE S, Edina, MN 55435
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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

Fadumo Hassan Ismail 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 ID9436684651
PECOS Enrollment IDI20241126000071
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 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS STEALEY MD
Pediatrics
6545 FRANCE AVE S, SUITE 400
EDINA, MN 55435
Hennepin County (952) 920-9191
DR. MICHELE ANN REYNOLDS D.D.S.,M.S.
Dentist (Endodontics)
6545 FRANCE AVE S, SUITE 665 SOUTHDALE MEDICAL BUILDING
EDINA, MN 55435
Hennepin County (952) 927-8694
MRS. AMY MICHELLE BOYDEN-HOEKSTRA P.T.
Physical Therapist
6545 FRANCE AVE S, SUITE 373
EDINA, MN 55435
Hennepin County (952) 835-4512
VICKI I BUTH CNP
Nurse Practitioner (Obstetrics & Gynecology)
6545 FRANCE AVE S, STE 540
EDINA, MN 55435
Hennepin County (952) 927-4045
MICHELE R O'BRIEN CNS
Clinical Nurse Specialist (Adult Health)
6545 FRANCE AVE S, STE 210
EDINA, MN 55435
Hennepin County (952) 928-2900
DR. DAVID JOHN CLAY DDS MS
Dentist (Prosthodontics)
6545 FRANCE AVE S, SUITE 680
EDINA, MN 55435
Hennepin County (952) 922-5326
DR. MARY ELIZABETH JOHNSON D.D.S.
Dentist (Endodontics)
6545 FRANCE AVE S, SUITE 665
EDINA, MN 55435
Hennepin County (952) 927-8694
STEPHANIE LYNAE GULBRANSON
Nurse Practitioner (Family)
6545 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 836-3695

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 Fadumo Ismail's NPI number?

The NPI number for Fadumo Ismail is 1336862408. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Where is Fadumo Ismail located?

Fadumo Ismail practices at 6545 France Ave S, Edina, MN 55435. The listed phone number is (952) 848-5600.

What is Fadumo Ismail's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Fadumo Ismail enrolled in Medicare?

Yes. Fadumo Ismail 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 Fadumo Ismail accept?

Health plans from Medica list Fadumo Ismail 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 Fadumo Ismail was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.