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NOVA HEALTH & WELLNESS CLINIC LLC
NPI 1487586384
Advanced Practice Midwife in Minneapolis, MN

Active since June 02, 2026
405 CEDAR AVE S, MINNEAPOLIS, MN 55454(612) 472-1556 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 3, 2026, Jun 2, 2026 (2 updates tracked since 2026).

About Nova Health & Wellness Clinic Llc NPPES

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

NOVA HEALTH & WELLNESS CLINIC LLC (NPI 1487586384) is a healthcare organization registered as an advanced practice midwife in Minneapolis, Minnesota and active in the NPI registry since June 2026. The organization lists Abdulrahman Ali, Admin, as its authorized official.

NPPES Registry Identity

NPI1487586384
Entity TypeOrganization
Primary Taxonomy367A00000X
Legal Business NameNOVA HEALTH & WELLNESS CLINIC LLC
Location Address405 CEDAR AVE SMinneapolis, MN 55454-1032
Mailing Address405 Cedar Ave SMinneapolis, MN 55454-1032
Phone(612) 472-1556
Organization SubpartNo
Authorized OfficialAbdulrahman AliAdmin · (612) 472-1556
Enumeration DateJune 2, 2026
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1487586384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
405 CEDAR AVE S, Minneapolis, MN 55454
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nova Health & Wellness Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nova Health & Wellness Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fartun Mohamed, CNM
Certified Nurse Midwife (CNM)
NPI 1710584339
425 20TH AVE S
Minneapolis, MN 55454
(612) 332-4973
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nova Health & Wellness Clinic LLC's NPI number?

The NPI number for Nova Health & Wellness Clinic LLC is 1487586384. It was assigned to this organization in the NPPES registry on June 2, 2026.

Where is Nova Health & Wellness Clinic LLC located?

Nova Health & Wellness Clinic LLC is located at 405 Cedar Ave S, Minneapolis, MN 55454. The listed phone number is (612) 472-1556.

What is Nova Health & Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Nova Health & Wellness Clinic LLC enrolled in Medicare?

Yes. Nova Health & Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nova Health & Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Nurse Midwife (CNM)) reassigns their Medicare billing to Nova Health & Wellness Clinic LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nova Health & Wellness Clinic LLC was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.