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

Maryam Abdulkadir Mohamed, APRNCPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1366131997

Maryam Abdulkadir Mohamed, APRNCPNP-PC is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2025, 1 year ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone: (612) 813-6107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17685 Juniper Path Ste 303, Lakeville, MN 55044-9821 — (952) 214-8959

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 10107 (MN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 10107 (MN)

Record details

NPI number1366131997
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNCPNP-PC
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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