DR. MARILYN N FUAYAH (DNP, APRN, FNP-C) – Family Nurse Practitioner, NPI 1720623911
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for DR. MARILYN N FUAYAH (DNP, APRN, FNP-C)
5701 88TH CRES N
BROOKLYN PARK, MN 554433978
Phone:
Type: Mailing
2300 COUNTY ROAD 29
SANDSTONE, MN 550725161
Phone: (320) 245-2262
Type: Location
2300 County Road 29
Sandstone, MN 550725161
Phone: (320) 245-2262
Type: Location
705 Lundorff Dr
Sandstone, MN 550725099
Phone: (320) 245-5600
Type: Location
400 E 3RD ST
DULUTH, MN 558051951
Phone: (218) 786-8364
Type: Mailing
701 PARK AVE
MINNEAPOLIS, MN 554151623
Phone: (612) 873-6963
Type: Mailing
2810 NICOLLET AVE
MINNEAPOLIS, MN 554084708
Phone: (612) 873-6963
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: 2021-10-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211022000374 | I | Nurse Practitioner | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 55443)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | MN | |
| Hematology/Oncology, Internal Medicine | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| - | TN | |
| Emergency Medicine | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| - | MN |
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