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NOUSSAIBA AYOUR PA-C
NPI 1821616764
Physician Assistant - Medical in Minneapolis, MN

Active since July 07, 2020PECOS EnrolledAccepts Medicare Assignment
5939 PORTLAND AVE, MINNEAPOLIS, MN 55417(612) 869-4444(612) 254-8244 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2025, Dec 16, 2024, Aug 10, 2024 and 2 more (5 updates tracked since 2020).

About Noussaiba Ayour Pa-c NPPES

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

NOUSSAIBA AYOUR PA-C (NPI 1821616764) is an individual medical provider in Minneapolis, Minnesota, licensed in Wisconsin (8197-23) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1821616764
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNOUSSAIBA AYOURCredential: PA-C
Location Address5939 PORTLAND AVEMinneapolis, MN 55417-3127
Mailing Address14369 Fairway DrEden Prairie, MN 55344-1956 · (952) 607-0217 · Fax (800) 398-8041
Phone(612) 869-4444
Fax(612) 254-8244
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 7, 2020
Last NPPES UpdateDecember 8, 20255 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1821616764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in WI · 8197-23✔ Licensed in MN · 14582✔ Licensed in FL · TPPA755
5939 PORTLAND AVE, Minneapolis, MN 55417
Open in Google Maps ↗

Secondary Practice Locations 4

Location 17901 4th St N Ste 300St Petersburg, FL 33702-4399 · Phone (952) 607-0217 · Fax (800) 398-8041
Location 214369 Fairway DrEden Prairie, MN 55344-1956 · Phone (952) 607-0217 · Fax (800) 398-8041
Location 32921 Landmark Pl Ste 215Madison, WI 53713-4248 · Phone (952) 607-0217 · Fax (800) 398-8041
Location 41821 University Ave W Ste 107-12Saint Paul, MN 55104-0049 · Phone (952) 607-0217

Other Identifiers 1

Medicaid1649035213MN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Noussaiba Ayour Pa-c 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 ID2466895032
PECOS Enrollment IDI20240210000605
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.

Other Providers at the Same Location NPPES 6

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

MRS. ELIZABETH ANN ROYSTER LMFT
Marriage & Family Therapist
5939 PORTLAND AVE
MINNEAPOLIS, MN 55417
Hennepin County (612) 866-6100
CROSSTOWN COUNSELING, PLC
Counselor (Mental Health)
5939 PORTLAND AVE
MINNEAPOLIS, MN 55417
Hennepin County (612) 866-6100
MARK WILLIAM SMITH LICSW
Social Worker (Clinical)
5939 PORTLAND AVE
MINNEAPOLIS, MN 55417
Hennepin County (612) 866-6100
LISA XIONG
Physician Assistant
5939 PORTLAND AVE
MINNEAPOLIS, MN 55417
Hennepin County (612) 869-4444
DIAMOND LAKE CLINIC, P.C.
Clinic/Center (Health Service)
5939 PORTLAND AVE
MINNEAPOLIS, MN 55417
Hennepin County (612) 806-3011
JESSICA MAGARITE PUSCH LPCC, LADC
Counselor (Professional)
5939 PORTLAND AVE
MINNEAPOLIS, MN 55417
Hennepin County (612) 869-4444

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 Noussaiba Ayour's NPI number?

The NPI number for Noussaiba Ayour is 1821616764. It was assigned to this individual provider in the NPPES registry on July 7, 2020.

Where is Noussaiba Ayour located?

Noussaiba Ayour practices at 5939 Portland Ave, Minneapolis, MN 55417. The listed phone number is (612) 869-4444.

What is Noussaiba Ayour's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Noussaiba Ayour enrolled in Medicare?

Yes. Noussaiba Ayour 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.

What insurance does Noussaiba Ayour accept?

Health plans from HealthPartners and Medica list Noussaiba Ayour as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Noussaiba Ayour was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.