MUKTAR SHILLOW OMAR NP
NPI 1689529505
Nurse Practitioner - Family in Brooklyn Center, MN

Q: What is Muktar Omar's NPI number?

The NPI number for Muktar Omar is 1689529505. It was assigned to this individual provider in the NPPES registry on March 4, 2026.

Q: What is Muktar Omar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Muktar Omar was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 04, 2026

6200 SHINGLE CREEK PKWY STE 260, BROOKLYN CENTER, MN 55430(763) 544-0696(763) 544-0984 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Muktar Shillow Omar Np NPPES

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

MUKTAR SHILLOW OMAR NP (NPI 1689529505) is an individual family provider in Brooklyn Center, Minnesota, licensed in Minnesota (13976) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1689529505

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMUKTAR SHILLOW OMARCredential: NP

Location Address6200 SHINGLE CREEK PKWY STE 260Brooklyn Center, MN 55430-2128

Mailing Address12372 5th St NeMinneapolis, MN 55434-2644 · (612) 227-6750

Phone(763) 544-0696

Fax(763) 544-0984

Sole ProprietorNo

Enumeration DateMarch 4, 2026

NPPES CertifiedMarch 4, 2026

✔ NPI 1689529505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 13976

6200 SHINGLE CREEK PKWY STE 260, Brooklyn Center, MN 55430

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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.

STACY CHANG MSN, APRN, CNP

Nurse Practitioner (Family)

6200 SHINGLE CREEK PKWY STE 260
BROOKLYN CENTER, MN 55430

Hennepin County (763) 544-0696

KAITLIN J HELLIE MD

Internal Medicine (Nephrology)

6200 SHINGLE CREEK PKWY STE 260
BROOKLYN CENTER, MN 55430

Hennepin County (763) 544-0696

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 Muktar Omar's NPI number?

The NPI number for Muktar Omar is 1689529505. It was assigned to this individual provider in the NPPES registry on March 4, 2026.

Where is Muktar Omar located?

Muktar Omar practices at 6200 Shingle Creek Pkwy Ste 260, Brooklyn Center, MN 55430. The listed phone number is (763) 544-0696.

What is Muktar Omar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Muktar Omar was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.