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

Mohamed Hassan Abdelazim, APNP

Individual provider Nurse Practitioner · NPI 1760266696

Mohamed Hassan Abdelazim, APNP is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2023, 3 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1818 N Meade St
Appleton, WI 54911-3454
Phone: (920) 731-1401
Show map & directions

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

Additional practice locations (1)

  • 1836 South Ave, La Crosse, WI 54601-5429 — (608) 782-7300

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 14429 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 14429-33 (WI)

Record details

NPI number1760266696
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorNo
NPI enumeratedAugust 22, 2023
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Appleton