Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TASNIM MUSHANNEN
NPI 1568041069
Psychiatry & Neurology - Neurology in Maplewood, MN

Active since April 03, 2021PECOS Enrolled
1747 BEAM AVE STE 100, MAPLEWOOD, MN 55109(612) 626-6688 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Apr 3, 2021 (2 updates tracked since 2021).

About Tasnim Mushannen NPPES

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

TASNIM MUSHANNEN (NPI 1568041069) is an individual neurology provider in Maplewood, Minnesota, licensed in Minnesota (80435) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1568041069
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameTASNIM MUSHANNEN
Location Address1747 BEAM AVE STE 100Maplewood, MN 55109-1128
Mailing Address1747 Beam Ave Ste 100Maplewood, MN 55109-1128
Sole ProprietorNo
Enumeration DateApril 3, 2021
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
NPI 1568041069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MN · 80435
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1747 BEAM AVE STE 100, Maplewood, MN 55109

Secondary Practice Location 1

Location 1909 Fulton St SEMinneapolis, MN 55455-4800 · Phone (612) 273-8383

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tasnim Mushannen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55109 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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 4

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

Clinic/Center (Multi-Specialty)
1747 BEAM AVE STE 100
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
1747 BEAM AVE STE 100
MAPLEWOOD, MN 55109
Physician Assistant
1747 BEAM AVE STE 100
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
1747 BEAM AVE STE 100
MAPLEWOOD, MN 55109

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 Tasnim Mushannen's NPI number?

The NPI number for Tasnim Mushannen is 1568041069. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Where is Tasnim Mushannen located?

Tasnim Mushannen practices at 1747 Beam Ave Ste 100, Maplewood, MN 55109. The listed phone number is (612) 626-6688.

What is Tasnim Mushannen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Tasnim Mushannen enrolled in Medicare?

Yes. Tasnim Mushannen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tasnim Mushannen was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.