FADUMO HASSAN
NPI 1912512302
Nurse Practitioner in Woodbury, MN

Active since September 11, 2020PECOS EnrolledAccepts Medicare Assignment
8450 SEASONS PARKWAY, WOODBURY, MN 55125(651) 702-5300 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Sep 11, 2020 (2 updates tracked since 2020).

About Fadumo Hassan NPPES

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

FADUMO HASSAN (NPI 1912512302) is an individual nurse practitioner in Woodbury, Minnesota, licensed in Minnesota (11938) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912512302
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFADUMO HASSAN
Location Address8450 SEASONS PARKWAYWoodbury, MN 55125-4402
Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 11, 2020
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1912512302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MN · 11938
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Maternal NewbornTaxonomy 163WM0102X · License 2212715 (MN)
8450 SEASONS PARKWAY, Woodbury, MN 55125

Accepted 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

Fadumo Hassan 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 ID3173064839
PECOS Enrollment IDI20240920002362
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 55125 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 5

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

Advanced Practice Midwife
8450 SEASONS PARKWAY, MAIL STOP 32900A
WOODBURY, MN 55125
Pediatrics
8450 SEASONS PARKWAY, HEALTHPARTNERS WOODBURY CLINIC MS 32900A
WOODBURY, MN 55125
Internal Medicine
8450 SEASONS PARKWAY
WOODBURY, MN 55125
Pediatrics
8450 SEASONS PARKWAY, MAIL STOP 32900A
WOODBURY, MN 55125
Optometrist
8450 SEASONS PARKWAY, MAIL STOP 32300A
WOODBURY, MN 55125

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 Fadumo Hassan's NPI number?

The NPI number for Fadumo Hassan is 1912512302. It was assigned to this individual provider in the NPPES registry on September 11, 2020.

Where is Fadumo Hassan located?

Fadumo Hassan practices at 8450 Seasons Parkway, Woodbury, MN 55125. The listed phone number is (651) 702-5300.

What is Fadumo Hassan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Fadumo Hassan enrolled in Medicare?

Yes. Fadumo Hassan 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 Fadumo Hassan accept?

Health plans from HealthPartners and Medica list Fadumo Hassan 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 Fadumo Hassan was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.