Mr Richard John Mastenbrook, CNP - Medicare Nurse Practitioner in Chisago City, MN

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Mr Richard John Mastenbrook, CNP is a medicare enrolled "Nurse Practitioner" in Chisago City, Minnesota. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fairview Clinics and his current practice location is 11725 Stinson Ave, Chisago City, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 257-8850.

Mr Richard John Mastenbrook is licensed to practice in Minnesota (license number AG0714121) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619386083.

Contact Information

Mr Richard John Mastenbrook, CNP
11725 Stinson Ave,
Chisago City, MN 55013-9542
(651) 257-8850
(651) 257-8852

Map and Direction




Provider's Profile

Full NameMr Richard John Mastenbrook
GenderMale
SpecialityNurse Practitioner
Experience10 Years
Location11725 Stinson Ave, Chisago City, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Richard John Mastenbrook graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1619386083
  • Provider Enumeration Date: 08/10/2014
  • Last Update Date: 08/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123340114
  • Enrollment ID: I20141202001220

Medical Identifiers

Medical identifiers for Mr Richard John Mastenbrook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619386083NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AG0714121 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairview Home Care And HospiceMinneapolis, MNHome health agency
Allina Health Hospice & Palliative CareSaint paul, MNHospice
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Clinics7113830142658

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. Mr Richard John Mastenbrook allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516

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. Mr Richard John Mastenbrook 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
Mr Richard John Mastenbrook, CNP
1700 University Ave W,
Saint Paul, MN 55104-3727

Ph: (516) 232-2002		Mr Richard John Mastenbrook, CNP
11725 Stinson Ave,
Chisago City, MN 55013-9542

Ph: (651) 257-8850

Reviews and Comments


Nurse Practitioner Nurses in Chisago City, MN

Karla Jean Lind, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-674-4570    
Susan Flannigan, RNCNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Fairview Lakes Chisago Clinic, 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-257-8499    
Mrs. Gina Sophia Marchio Smith, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 29575 Sportsman Dr Ste 6, Chisago City, MN 55013
Phone: 651-257-8850    

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.