NOUSSAIBA AYOUR (PA-C) – Student in an Organized Health Care Education/Training Program, NPI 1821616764
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for NOUSSAIBA AYOUR (PA-C)
1821 University Ave W Ste 107-12
Saint Paul, MN 551040049
Phone: (952) 607-0217
Type: Location
14369 Fairway Dr
Eden Prairie, MN 553441956
Phone: (952) 607-0217
Fax: (800) 398-8041
Type: Location
2921 Landmark Pl Ste 215
Madison, WI 537134248
Phone: (952) 607-0217
Fax: (800) 398-8041
Type: Location
14811 HAMPSHIRE AVE S
SAVAGE, MN 553784544
Phone: (952) 607-1436
Type: Mailing
14369 FAIRWAY DR
EDEN PRAIRIE, MN 553441956
Phone: (952) 607-0217
Fax: (800) 398-8041
Type: Mailing
5939 PORTLAND AVE
MINNEAPOLIS, MN 554173127
Phone: (612) 869-4444
Fax: (612) 254-8244
Type: Location
7901 4th St N Ste 300
St Petersburg, FL 337024399
Phone: (952) 607-0217
Fax: (800) 398-8041
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Abbott Laboratories ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $22 |
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: 2024-02-10
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 |
|---|---|---|---|---|
| I20240210000605 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MN | |
| Clinical Social Worker | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Certified Clinical Nurse Specialist (Cns) | MN | |
| - | MN |
Reviews
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