FAISA HASSAN ABDI-OMAR, CNM — NPI 1467006700 (Licensed & Credentialed Midwife in GOLDEN VALLEY, MN)

CMS-1500 Box 24J / 33a • NPI

1467006700

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

176B00000X

Licensed & Credentialed Midwife

Box 32 Service Location & ZIP+4

1405 LILAC DR N STE 150L, GOLDEN VALLEY, MN, 55422-4536

✓ 9-Digit EDI 837 ZIP+4 (55422-4536)

Practice Phone & Referral Fax

(612) 814-1800

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1467006700 (FAISA HASSAN ABDI-OMAR, CNM) 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

Medicare Part B

✓ Eligible

DMEPOS Ordering

✓ Eligible

Home Health (HHA)

Power Mobility

Hospice Referring

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1467006700` (NPI-1 Individual Practitioner)
Provider / Legal Name	FAISA HASSAN ABDI-OMAR, CNM
Plain-English Specialty	Licensed & Credentialed Midwife NUCC Code: `176B00000X` (Midwife)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1405 LILAC DR N STE 150L, GOLDEN VALLEY, MN, 55422-4536
Practice Telephone / Fax	Tel: (612) 814-1800
Administrative Mailing Address	1405 LILAC DR N STE 150L, GOLDEN VALLEY, MN, 55422-4536
Enumeration & Last Sync	Enumerated: 2019-07-25 \| CMS Record Updated: 2026-09-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1405 LILAC DR N STE 150L, GOLDEN VALLEY, MN, 55422-4536

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Plain-English Taxonomy & CMS Crosswalk (176B00000X)

What Does Taxonomy Code 176B00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 176B00000X translates to:
"Licensed & Credentialed Midwife"

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 Midwife for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (FAISA HASSAN ABDI-OMAR, CNM)

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
`163WG0000X` — Registered Nurse, General Practice Plain English: Licensed & Credentialed Registered Nurse, General Practice	State: MN \| License: `2292324` \| Primary: Secondary
`163WH0200X` — Registered Nurse, Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: MN \| License: `2292324` \| Primary: Secondary
`163WM0102X` — Registered Nurse, Maternal Newborn Plain English: Licensed & Credentialed Registered Nurse, Maternal Newborn	State: MN \| License: `2292324` \| Primary: Secondary
`163WC1500X` — Registered Nurse, Community Health Plain English: Licensed & Credentialed Registered Nurse, Community Health	State: MN \| License: `2292324` \| Primary: Secondary
`163WL0100X` — Registered Nurse, Lactation Consultant Plain English: Licensed & Credentialed Registered Nurse, Lactation Consultant	State: MN \| License: `2292324` \| Primary: Secondary
`163WN1003X` — Registered Nurse, Nutrition Support Plain English: Licensed & Credentialed Registered Nurse, Nutrition Support	State: MN \| License: `2292324` \| Primary: Secondary
`163WW0101X` — Registered Nurse, Women's Health Care, Ambulatory Plain English: Licensed & Credentialed Registered Nurse, Women's Health Care, Ambulatory	State: MN \| License: `2292324` \| Primary: Secondary
`163WW0000X` — Registered Nurse, Wound Care Plain English: Licensed & Credentialed Registered Nurse, Wound Care	State: MN \| License: `2292324` \| Primary: Secondary
`176B00000X` — Midwife Plain English: Licensed & Credentialed Midwife	State: MN \| License: `405` \| Primary: Yes (Primary)
`163WP1700X` — Registered Nurse, Perinatal Plain English: Licensed & Credentialed Registered Nurse, Perinatal	State: MN \| License: `2292324` \| Primary: Secondary

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FAISA HASSAN ABDI-OMAR, CNM (NPI #1467006700)