✓ Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Transplantation (364ST0500X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

SIFEN M ALI (NPI #1194591909)

Clinical Nurse Specialist, Transplantation • BLAINE, MN • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1194591909
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
364ST0500X (CMS 89)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Transplantation
Box 32 Service Location & ZIP+4
12664 CENTRAL AVE NE APT 215, BLAINE, MN, 55434-4814
✓ 9-Digit EDI 837 ZIP+4 (55434-4814)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1194591909 (SIFEN M ALI) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1194591909 (NPI-1 Individual Practitioner)
Provider / Legal NameSIFEN M ALI
Plain-English SpecialtyLicensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Transplantation
NUCC Code: 364ST0500X (Clinical Nurse Specialist, Transplantation)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address12664 CENTRAL AVE NE APT 215, BLAINE, MN, 55434-4814
Practice Telephone / FaxTel: (612) 814-1085
Administrative Mailing Address12664 CENTRAL AVE NE APT 215, BLAINE, MN, 55434-4814
Enumeration & Last SyncEnumerated: 2023-12-01 | CMS Record Updated: 2023-12-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12664 CENTRAL AVE NE APT 215, BLAINE, MN, 55434-4814

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Plain-English Taxonomy & CMS Crosswalk (364ST0500X)

What Does Taxonomy Code 364ST0500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364ST0500X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Transplantation"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 89 (Certified Clinical Nurse Specialist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Nurse Specialist, Transplantation for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SIFEN M ALI)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
364ST0500X — Clinical Nurse Specialist, Transplantation
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Transplantation
State: MN | License: 1386376600028 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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