MARIAM FARAH PMHNP-BC
NPI 1770447898
Nurse Practitioner - Psychiatric/Mental Health in Bloomington, MN

Q: What is Mariam Farah's NPI number?

The NPI number for Mariam Farah is 1770447898. It was assigned to this individual provider in the NPPES registry on December 12, 2025.

Q: What is Mariam Farah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mariam Farah was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 December 12, 2025PECOS Enrolled

7760 FRANCE AVE S FL 11, BLOOMINGTON, MN 55435(612) 205-7792 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 9, 2026, Dec 31, 2025, Dec 12, 2025 (3 updates tracked since 2025).

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About Mariam Farah Pmhnp-bc NPPES

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

MARIAM FARAH PMHNP-BC (NPI 1770447898) is an individual psychiatric/mental health provider in Bloomington, Minnesota, licensed in Minnesota (13744) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770447898

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARIAM FARAHCredential: PMHNP-BC

Location Address7760 FRANCE AVE S FL 11Bloomington, MN 55435-5800

Mailing Address7760 France Ave S Fl 11Bloomington, MN 55435-5800

Phone(612) 205-7792

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 12, 2025

Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2026

✔ NPI 1770447898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MN · 13744

7760 FRANCE AVE S FL 11, Bloomington, MN 55435

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariam Farah Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496278954

PECOS Enrollment IDI20260203001379

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.

Medicare Billing Reassignment

Medicare enrollment records show Mariam Farah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stonebridge Mental Health LLC

Same address

Psychiatric/Mental Health

7760 FRANCE AVE S FL 11
Bloomington, MN 55435

Reassigned Medicare billing, Minnesota enrollment

NPI 1992660211 (612) 205-7792

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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.

ILA KOCH

Behavior Technician