Ellise Caroline Braveheart, RN, CNP, FNP-C in Cloquet, MN

Ellise Caroline Braveheart, RN, CNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Cloquet, Minnesota. Her current practice location is 927 Trettel Ln, Cloquet, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 879-1227.

Ellise Caroline Braveheart is licensed to practice in Minnesota (license number 9590) 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 1275930026.

Contact Information

	Ellise Caroline Braveheart, RN, CNP, FNP-C
	927 Trettel Ln, Cloquet, MN 55720-1345
	(218) 879-1227
	Not Available

Map and Direction

Provider's Profile

Full Name	Ellise Caroline Braveheart
Gender	Female
Speciality	Nurse Practitioner - Family
Location	927 Trettel Ln, Cloquet, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275930026
Provider Enumeration Date: 11/21/2014
Last Update Date: 01/03/2023

Medicare PECOS Information:

PECOS PAC ID: 8729459581
Enrollment ID: I20230115000011

Medical Identifiers

Medical identifiers for Ellise Caroline Braveheart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275930026	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	R221785-9 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	9590 (Minnesota)	Primary

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. Ellise Caroline Braveheart allows following entities to bill medicare on her behalf.

Entity Name	Fond Du Lac Reservation Business Committee
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326053166 PECOS PAC ID: 6608775879 Enrollment ID: O20040107000308

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. Ellise Caroline Braveheart 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 Address	Practice Location Address
Ellise Caroline Braveheart, RN, CNP, FNP-C 907 Slate St, Cloquet, MN 55720-1252 Ph: (218) 269-4974	Ellise Caroline Braveheart, RN, CNP, FNP-C 927 Trettel Ln, Cloquet, MN 55720-1345 Ph: (218) 879-1227

Reviews and Comments

Nurse Practitioner Nurses in Cloquet, MN

Mrs. Kirsten Marie Kortesma, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227
June Denise Mclachlan, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 927 Trettle Lane, Fond Du Lac Human Services Division, Cloquet, MN 55720 Phone: 218-879-1227 Fax: 218-878-2188
Dr. Eric Charles Weigel, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641
Leaola Fields, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 417 Skyline Blvd, Cmh Raiter Clinic, Cloquet, MN 55720 Phone: 218-879-1271
Patience Askim, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-8904
Mrs. Magdalena C Reynolds-allen, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227 Fax: 218-878-2136
Lisa Beth Hay, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 Skyline Blvd, Cloquet, MN 55720 Phone: 218-878-7622

Ellise Caroline Braveheart, RN, CNP, FNP-C - Medicare Nurse Practitioner in Cloquet, MN