NAOMI ANN WINDHAM CNP
NPI 1801318167
Nurse Practitioner - Family in Minneapolis, MN

Active since July 08, 2017PECOS EnrolledAccepts Medicare Assignment
525 PORTLAND AVE, MINNEAPOLIS, MN 55415(612) 348-5553 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 22, 2019, Mar 17, 2018, Jul 8, 2017 (3 updates tracked since 2017).

About Naomi Ann Windham Cnp NPPES

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

NAOMI ANN WINDHAM CNP (NPI 1801318167) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (5225) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1801318167
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNAOMI ANN WINDHAMCredential: CNP
Location Address525 PORTLAND AVEMinneapolis, MN 55415
Mailing Address525 Portland Ave # Mc963Minneapolis, MN 55415-1533 · (612) 348-5553
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 8, 2017
Last NPPES UpdateOctober 22, 20193 updates tracked since enumeration
✔ NPI 1801318167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 5225
Also ListedRegistered NurseTaxonomy 163W00000X · License 1909715 (MN)
525 PORTLAND AVE, Minneapolis, MN 55415

Other Names 1

Former Name (1)Naomi Ann Pederson

Secondary Practice Locations 3

Location 12810 Nicollet AveMinneapolis, MN 55408-4708 · Phone (612) 873-3000
Location 2525 Portland AveMinneapolis, MN 55415 · Phone (612) 348-5553
Location 3701 Park AveMinneapolis, MN 55415-1623 · Phone (612) 873-6963

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Naomi Ann Windham Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658643382
PECOS Enrollment IDI20170815004575
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 Naomi Windham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Federally Qualified Health Center (FQHC)
525 PORTLAND AVE # MC963
Minneapolis, MN 55415
  • Reassigned Medicare billing, Minnesota enrollment
  • 192 clinicians in this Medicare group

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 55415 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.

Marriage & Family Therapist
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Community/Behavioral Health
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Counselor (Professional)
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Marriage & Family Therapist
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Counselor (Professional)
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Nurse Practitioner (Women's Health)
525 PORTLAND AVE, HSB 4TH FLOOR, MC 952
MINNEAPOLIS, MN 55415
Psychologist (Clinical)
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Social Worker (Clinical)
525 PORTLAND AVE
MINNEAPOLIS, MN 55415

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 Naomi Windham's NPI number?

The NPI number for Naomi Windham is 1801318167. It was assigned to this individual provider in the NPPES registry on July 8, 2017. The provider is also known as Naomi Ann Pederson.

Where is Naomi Windham located?

Naomi Windham practices at 525 Portland Ave, Minneapolis, MN 55415. The listed phone number is (612) 348-5553.

What is Naomi Windham's specialty?

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

Is Naomi Windham enrolled in Medicare?

Yes. Naomi Windham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Naomi Windham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Naomi Windham reassigns Medicare benefits to Hennepin County (Minneapolis, MN). The 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 Naomi Windham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Naomi Windham was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.