MARYAM ABDULKADIR MOHAMED APRN CPNP-PC
NPI 1366131997
Nurse Practitioner - Pediatrics in Minneapolis, MN

Active since May 01, 2023PECOS EnrolledAccepts Medicare Assignment
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-6107 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2025, Jul 10, 2023, May 1, 2023 (3 updates tracked since 2023).

About Maryam Abdulkadir Mohamed Aprn Cpnp-pc NPPES

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

MARYAM ABDULKADIR MOHAMED APRN CPNP-PC (NPI 1366131997) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (10107) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lakeville, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366131997
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARYAM ABDULKADIR MOHAMEDCredential: APRN CPNP-PC
Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518
Mailing Address2525 Chicago AveMinneapolis, MN 55404-4518 · (952) 288-9420
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 1, 2023
Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1366131997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MN · 10107
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 10107 (MN)
2525 CHICAGO AVE, Minneapolis, MN 55404

Secondary Practice Location 1

Location 117685 Juniper Path Ste 303Lakeville, MN 55044-9821 · Phone (952) 214-8959 · Fax (952) 214-8960

Accepted 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

Maryam Abdulkadir Mohamed Aprn Cpnp-pc 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 ID2264923002
PECOS Enrollment IDI20251119001506
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 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.

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 20

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

Social Worker (Clinical)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Neonatal)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics (Pediatric Infectious Diseases)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Family)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Pediatrics, Critical Care)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Anesthetist, Certified Registered
2525 CHICAGO AVE
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 Maryam Mohamed's NPI number?

The NPI number for Maryam Mohamed is 1366131997. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Maryam Mohamed located?

Maryam Mohamed practices at 2525 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (612) 813-6107.

What is Maryam Mohamed's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Maryam Mohamed enrolled in Medicare?

Yes. Maryam Mohamed 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 Maryam Mohamed accept?

Health plans from HealthPartners and Medica list Maryam Mohamed 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 Maryam Mohamed was last updated on November 5, 2025. 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.