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

Kiin Hussein Mohamed, RN

Individual provider Family Nurse Practitioner · NPI 1063109445

Kiin Hussein Mohamed, RN is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2024, 2 years ago. Practices with Boulder Care Provider Group PA, a 109-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2023
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2550 University Ave W Ste 130N
Saint Paul, MN 55114-1096
Phone: (651) 447-3755
Fax: (651) 444-8923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0036400 (OH)

Record details

NPI number1063109445
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 18, 2023
Last updated in NPPESMarch 9, 2025
Certification dateMarch 9, 2025

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 Boulder Care Provider Group Pa — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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