FIREWOINI KEBEDE – Nurse Practitioner, NPI 1518683952

FIREWOINI KEBEDE is a healthcare provider. based in Eagan, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 10306 (MN). The NPI Number for FIREWOINI KEBEDE is 1518683952

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
FIREWOINI KEBEDE
NPI
1518683952
Phone
(651) 688-7041
Address
4241 Johnny Cake Ridge Rd
Enumeration Date
18 October 2022
Last Update Date
30 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524281000
Graduation Year
2022 (4 years ago)
PAC ID
2769838028
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20231024001294
Address ID
MN553782890SA6350XSTXX401

Contacts

Secure Messaging
rkebede594163@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for FIREWOINI KEBEDE

  • 4241 Johnny Cake Ridge Rd

    Eagan, MN 551222235

    Phone: (651) 688-7041

    Type: Location

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

  • 6350 W 143RD ST STE 102

    SAVAGE, MN 553782890

    Phone: (952) 428-1000

    Fax: (952) 428-0499

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231024001294INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0008Administration of influenza virus vaccine1313$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1111$0
View full utilization report →

Insurance plans in this area (ZIP 55122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587573613View full group profile

Reviews

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Frequently asked questions

Where can patients find FIREWOINI KEBEDE's NPI?
You can confirm FIREWOINI KEBEDE with NPI 1518683952; it appears in the national provider directory.
Is FIREWOINI KEBEDE's NPI currently valid?
The extract we use shows FIREWOINI KEBEDE as active.
What does FIREWOINI KEBEDE treat or focus on?
Patients typically see FIREWOINI KEBEDE under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for FIREWOINI KEBEDE?
The page summarizes Eagan, Minnesota for FIREWOINI KEBEDE; expand the address list for detail.
Is FIREWOINI KEBEDE a real provider?
This page reflects official NPPES data for NPI 1518683952. Always confirm identity and privileges with the practice and licensing boards.

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