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

Fadumo Hassan

Individual provider Maternal Newborn Registered Nurse · NPI 1912512302

Fadumo Hassan is a Nurse Practitioner in Woodbury, Minnesota. Qualified in 2024, 2 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2020
Specialties on file
2

Practice location Address checks out

8450 Seasons Pkwy
Woodbury, MN 55125-4402
Phone: (651) 702-5300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11938 (MN)
Maternal Newborn Registered Nurse Taxonomy 163WM0102X · Licence 2212715 (MN)

Record details

NPI number1912512302
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2020
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare