Brooke Elizabeth Pettinelli, NP - Medicare Nurse Practitioner in Virginia, MN

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Brooke Elizabeth Pettinelli, NP is a medicare enrolled "Nurse Practitioner - Family" in Virginia, Minnesota. Her current practice location is 1101 9th St N, Duluth Clinic-virginia, Virginia, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 741-0150.

Brooke Elizabeth Pettinelli is licensed to practice in Minnesota (license number R179144-4) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093023772.

Contact Information

Brooke Elizabeth Pettinelli, NP
1101 9th St N, Duluth Clinic-virginia,
Virginia, MN 55792-2329
(218) 741-0150
Not Available

Map and Direction




Provider's Profile

Full NameBrooke Elizabeth Pettinelli
GenderFemale
SpecialityNurse Practitioner - Family
Location1101 9th St N, Virginia, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093023772
  • Provider Enumeration Date: 09/16/2010
  • Last Update Date: 09/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3375723026
  • Enrollment ID: I20110211000754

Medical Identifiers

Medical identifiers for Brooke Elizabeth Pettinelli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093023772NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R179144-4 (Minnesota)Primary
363LG0600XNurse Practitioner - Gerontology R179144-4 (Minnesota)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brooke Elizabeth Pettinelli allows following entities to bill medicare on her behalf.
Entity NameThe Duluth Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229
Entity NameDeer River Healthcare Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225049018
PECOS PAC ID: 1850388448
Enrollment ID: O20040427000428
Entity NameNorthern Pines Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639278609
PECOS PAC ID: 3870565641
Enrollment ID: O20040811000988
Entity NameEssentia Health Virginia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083617120
PECOS PAC ID: 7810149002
Enrollment ID: O20130306000467

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brooke Elizabeth Pettinelli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brooke Elizabeth Pettinelli, NP
1101 9th St N, Duluth Clinic-virginia,
Virginia, MN 55792-2329

Ph: (218) 741-0150		Brooke Elizabeth Pettinelli, NP
1101 9th St N, Duluth Clinic-virginia,
Virginia, MN 55792-2329

Ph: (218) 741-0150

Reviews and Comments


Nurse Practitioner Nurses in Virginia, MN

Jennifer Lynn Kober,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1101 9th St N, Virginia, MN 55792
Phone: 218-741-0150    
Mrs. Erin R Thielbar, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8373 Unity Dr, Virginia, MN 55792
Phone: 218-748-7480    Fax: 218-748-7488
Sara Luoma, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 901 9th St N, Essentia Health Virginia Medical Arts Clinic, Virginia, MN 55792
Phone: 218-741-7750    
Sara J Bruemmer, DNP, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8373 Unity Dr, Virginia, MN 55792
Phone: 218-748-7480    
Gina M Suihkonen, APRN,CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1101 9th St N, Virginia, MN 55792
Phone: 218-305-0000    
Pamela J Jarvis, MA RN PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792
Phone: 218-749-2881    Fax: 218-749-3806

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.