Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fadumo H Hersi

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1356053292

Fadumo H Hersi is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3270 W Lake St
Minneapolis, MN 55416-4512
Phone: (612) 775-1800
Fax: (612) 775-1805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 9818 (MN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 9818 (MN)

Record details

NPI number1356053292
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2022
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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