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

Zako Mohamed Ibrahim

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1720653652

Zako Mohamed Ibrahim is a Nurse Practitioner in Edina, Minnesota. Qualified in 2021, 5 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
Specialties on file
3

Practice location Address checks out

5200 Willson Rd Ste 150
Edina, MN 55424-1300
Phone: (952) 855-8570
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 8226 (MN)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence 1961290 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 8226 (MN)

Record details

NPI number1720653652
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2021
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021
Mailing address5200 Willson Rd Ste 150, Edina, MN 55424-1300

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare