FAISALE SALE BOUKARI, RN — NPI 1366755464 (Licensed & Credentialed Registered Nurse in CHAMPLIN, MN)

CMS-1500 Box 24J / 33a • NPI

1366755464

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163W00000X

Licensed & Credentialed Registered Nurse

Box 32 Service Location & ZIP+4

12017 PENNSYLVANIA AVE N, CHAMPLIN, MN, 55316-2233

✓ 9-Digit EDI 837 ZIP+4 (55316-2233)

Practice Phone & Referral Fax

(612) 281-5754

Direct NPPES Verification Line

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1366755464 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min) — Effective 2026-09-20). Verify before submitting Medicare/Medicaid claims.

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 Number	`1366755464` (NPI-1 Individual Practitioner)
Provider / Legal Name	FAISALE SALE BOUKARI, RN
Plain-English Specialty	Licensed & Credentialed Registered Nurse NUCC Code: `163W00000X` (Registered Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	12017 PENNSYLVANIA AVE N, CHAMPLIN, MN, 55316-2233
Practice Telephone / Fax	Tel: (612) 281-5754
Administrative Mailing Address	12017 PENNSYLVANIA AVE N, CHAMPLIN, MN, 55316-2233
Enumeration & Last Sync	Enumerated: 2010-07-17 \| CMS Record Updated: 2010-07-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12017 PENNSYLVANIA AVE N, CHAMPLIN, MN, 55316-2233

🗺️ Open in Google Maps 🏥 More Providers in CHAMPLIN

🔒 Are you FAISALE SALE BOUKARI, RN? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (163W00000X)

What Does Taxonomy Code 163W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163W00000X translates to:
"Licensed & Credentialed Registered Nurse"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (FAISALE SALE BOUKARI, RN)

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 Description	State License & Primary Status
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: MN \| License: `R 185771-5` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

FAISALE SALE BOUKARI, RN (NPI #1366755464)