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

Active since March 04, 2026PECOS Enrolled
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: October 18, 2026.

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. He is enrolled in Medicare PECOS.

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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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Muktar Shillow Omar Np 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 55430 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 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.

Is Muktar Omar enrolled in Medicare?

Yes. Muktar Omar is registered in the Medicare PECOS enrollment system.

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 7 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.