| Essentia Health Brainerd Specialty Clinic | |
|
2024 S 6th St Brainerd MN 56401-4529 | |
| (218) 828-7100 | |
| (218) 828-7194 |
| Full Name | Essentia Health Brainerd Specialty Clinic |
|---|---|
| Speciality | General Practice |
| Location | 2024 S 6th St, Brainerd, Minnesota |
| Authorized Official Name and Position | Kevin Boren (VP OF FINANCE) |
| Authorized Official Contact | 2187861009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health Brainerd Specialty Clinic 2024 S 6th St Brainerd MN 56401-4529 Ph: (218) 828-7100 | Essentia Health Brainerd Specialty Clinic 2024 S 6th St Brainerd MN 56401-4529 Ph: (218) 828-7100 |
| NPI Number | 1295801777 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 02/26/2024 |
| Medicare PECOS PAC ID | 0648270272 |
|---|---|
| Medicare Enrollment ID | O20070105000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295801777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 8619454 (Minnesota) | Primary |
| Provider Name | Kathy E Wimmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700855814 PECOS PAC ID: 0345140281 Enrollment ID: I20040109000198 |
| Provider Name | Jon R Vanderhagen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326016171 PECOS PAC ID: 7618878166 Enrollment ID: I20040116000798 |
| Provider Name | Lori Alice Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295705572 PECOS PAC ID: 5991697989 Enrollment ID: I20040325001073 |
| Provider Name | John C Berg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285612325 PECOS PAC ID: 7618877549 Enrollment ID: I20040417000390 |
| Provider Name | Tammy Mcgrane Fox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730247552 PECOS PAC ID: 8022920297 Enrollment ID: I20040615000898 |
| Provider Name | Susan M Skarp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184608150 PECOS PAC ID: 9638151608 Enrollment ID: I20040817000715 |
| Provider Name | Troy Duininck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801870886 PECOS PAC ID: 5698749133 Enrollment ID: I20040821000085 |
| Provider Name | Timothy D Aadland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780662783 PECOS PAC ID: 4082673207 Enrollment ID: I20041005000112 |
| Provider Name | David George Andrew Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932135936 PECOS PAC ID: 9436119799 Enrollment ID: I20041012001167 |
| Provider Name | Bruce James Derauf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003847385 PECOS PAC ID: 9133181969 Enrollment ID: I20041103000200 |
| Provider Name | Michael Edward Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215953997 PECOS PAC ID: 4082676846 Enrollment ID: I20041103000434 |
| Provider Name | Julie Kay Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740264530 PECOS PAC ID: 6103884689 Enrollment ID: I20041230000161 |
| Provider Name | Joseph D Moriarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780662007 PECOS PAC ID: 8123071917 Enrollment ID: I20050221000597 |
| Provider Name | Deanne R Ehlert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073591210 PECOS PAC ID: 5890749790 Enrollment ID: I20050303000335 |
| Provider Name | Kelli B Leland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356319800 PECOS PAC ID: 1153368691 Enrollment ID: I20050415000181 |
| Provider Name | Jennifer Kathleen Mahling-stadum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790761187 PECOS PAC ID: 7416995907 Enrollment ID: I20050425000816 |
| Provider Name | Michael E Mollerus |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669402624 PECOS PAC ID: 3779528849 Enrollment ID: I20050621000472 |
| Provider Name | Aaron Jeremy Milbank |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366439523 PECOS PAC ID: 9638157092 Enrollment ID: I20050728000126 |
| Provider Name | Christopher T Bunch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790845774 PECOS PAC ID: 5597793794 Enrollment ID: I20050729000151 |
| Provider Name | Peter J Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992771430 PECOS PAC ID: 6406887330 Enrollment ID: I20050830000682 |
| Provider Name | Ningmei Hu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902821416 PECOS PAC ID: 7719947373 Enrollment ID: I20050906000717 |
| Provider Name | Maisa A Pebbles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336117480 PECOS PAC ID: 9335164631 Enrollment ID: I20051005001161 |
| Provider Name | Dianne M Kendall |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619945458 PECOS PAC ID: 3375557390 Enrollment ID: I20060130000434 |
| Provider Name | Hong Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164407466 PECOS PAC ID: 8921908864 Enrollment ID: I20060130000521 |
| Provider Name | Roger F Macy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689658635 PECOS PAC ID: 4284534124 Enrollment ID: I20060130000561 |
| Provider Name | Vanessa V Menghini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285618249 PECOS PAC ID: 6002716941 Enrollment ID: I20060130000595 |
| Provider Name | Brett Paul Nienaber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710961776 PECOS PAC ID: 8820002868 Enrollment ID: I20060130000638 |
| Provider Name | Mark W Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790760338 PECOS PAC ID: 6608789326 Enrollment ID: I20060130000771 |
| Provider Name | Blaine A Brecht |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417923954 PECOS PAC ID: 2062426968 Enrollment ID: I20060131000224 |
| Provider Name | Ross B Bengtson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417931593 PECOS PAC ID: 8325052012 Enrollment ID: I20060202000074 |
| Provider Name | William J Sachs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699759654 PECOS PAC ID: 2860406584 Enrollment ID: I20060202000302 |
| Provider Name | Heidi L Sorenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649255191 PECOS PAC ID: 5193739811 Enrollment ID: I20060202000325 |
| Provider Name | Jane Lynn Winter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922082890 PECOS PAC ID: 2163322009 Enrollment ID: I20060202000434 |
| Provider Name | Jim J Dehen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720062706 PECOS PAC ID: 9234039165 Enrollment ID: I20060202000580 |
| Provider Name | James Patrick Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255319299 PECOS PAC ID: 7214837145 Enrollment ID: I20060202000673 |
| Provider Name | Stephen Edward Hanske |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962487504 PECOS PAC ID: 0840190781 Enrollment ID: I20060202000687 |
| Provider Name | Jeannine Marie Mueller-harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861413635 PECOS PAC ID: 6204841901 Enrollment ID: I20060216000486 |
| Provider Name | Eduardo Ehrenwald |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710930110 PECOS PAC ID: 4587647888 Enrollment ID: I20060403000305 |
| Provider Name | Richard Kanoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407893753 PECOS PAC ID: 4981621638 Enrollment ID: I20060621000126 |
| Provider Name | Alicia M Prahm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952337255 PECOS PAC ID: 7214930130 Enrollment ID: I20060815000347 |
| Provider Name | Terri Lynn Oster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851301329 PECOS PAC ID: 9133225998 Enrollment ID: I20070511000013 |
| Provider Name | Gregory D Whiteman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154311660 PECOS PAC ID: 4880785856 Enrollment ID: I20070806000165 |
| Provider Name | Robert Stoffey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033153812 PECOS PAC ID: 7416851480 Enrollment ID: I20070808000094 |
| Provider Name | Jared K Rustad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326195686 PECOS PAC ID: 5698877991 Enrollment ID: I20070808000244 |
| Provider Name | Jesse A Lind |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427257393 PECOS PAC ID: 7719077221 Enrollment ID: I20071221000022 |
| Provider Name | Harvey E Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467655308 PECOS PAC ID: 8123108693 Enrollment ID: I20080109000631 |
| Provider Name | Debra L Steen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790844868 PECOS PAC ID: 0941374383 Enrollment ID: I20080804000432 |
| Provider Name | Michael John Brickner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154536696 PECOS PAC ID: 2466528419 Enrollment ID: I20080827000723 |
| Provider Name | Linda Tigenoah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235301623 PECOS PAC ID: 5395812135 Enrollment ID: I20080922000129 |
| Provider Name | Jared R Reese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326212077 PECOS PAC ID: 2769550128 Enrollment ID: I20081013000132 |
| Provider Name | Whitnea R Engelbrecht |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528108438 PECOS PAC ID: 4284726175 Enrollment ID: I20081120000699 |
| Provider Name | Christian Debranin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417036005 PECOS PAC ID: 3577464247 Enrollment ID: I20090420000102 |
| Provider Name | Jill Rene-pierce Holsinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255431524 PECOS PAC ID: 0244219822 Enrollment ID: I20090514000545 |
| Provider Name | Justin David Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306026778 PECOS PAC ID: 8022189299 Enrollment ID: I20090827000191 |
| Provider Name | Michael Patrick Caldwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952444010 PECOS PAC ID: 1254415706 Enrollment ID: I20090827000235 |
| Provider Name | Daniel William Zelen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336288448 PECOS PAC ID: 9830280536 Enrollment ID: I20090916000216 |
| Provider Name | Nathan D Laposky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790952612 PECOS PAC ID: 5890831150 Enrollment ID: I20090930000493 |
| Provider Name | Jessica A Nybakken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164657607 PECOS PAC ID: 8426195264 Enrollment ID: I20091027000419 |
| Provider Name | Kelly U Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114157625 PECOS PAC ID: 3375681547 Enrollment ID: I20091109000214 |
| Provider Name | Robert Owen Posch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518997758 PECOS PAC ID: 0143121301 Enrollment ID: I20091214000755 |
| Provider Name | James J Ohearn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467483776 PECOS PAC ID: 0547228645 Enrollment ID: I20100105000676 |
| Provider Name | Gail E Seeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700112547 PECOS PAC ID: 7416098546 Enrollment ID: I20100111000629 |
| Provider Name | Anh X Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497746648 PECOS PAC ID: 7810030335 Enrollment ID: I20100205000645 |
| Provider Name | Patricia L Segler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154308088 PECOS PAC ID: 1052456704 Enrollment ID: I20100304001071 |
| Provider Name | Patricia K Engelstad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558551879 PECOS PAC ID: 8325133564 Enrollment ID: I20100825001069 |
| Provider Name | Scott E Engelstad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891986923 PECOS PAC ID: 0547355786 Enrollment ID: I20100825001091 |
| Provider Name | Sara Marie Lokstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962464230 PECOS PAC ID: 9133318876 Enrollment ID: I20110111000293 |
| Provider Name | Melonee Ruhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477867182 PECOS PAC ID: 0042491227 Enrollment ID: I20110221000998 |
| Provider Name | Jordan J Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104126994 PECOS PAC ID: 1355523242 Enrollment ID: I20110314001085 |
| Provider Name | Christine Ann Diederich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447212345 PECOS PAC ID: 5193900579 Enrollment ID: I20110428000482 |
| Provider Name | Jodi S Michaels |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922233287 PECOS PAC ID: 4880871573 Enrollment ID: I20110606000733 |
| Provider Name | Tyler John Dunphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164684320 PECOS PAC ID: 2668640640 Enrollment ID: I20110718000618 |
| Provider Name | Marcy M Byrns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891957494 PECOS PAC ID: 0941471387 Enrollment ID: I20110915000571 |
| Provider Name | Dean Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629017249 PECOS PAC ID: 6709951122 Enrollment ID: I20120411000716 |
| Provider Name | Claire L Mallof |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760656037 PECOS PAC ID: 8426214206 Enrollment ID: I20120723000843 |
| Provider Name | Anthony J Polcari |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629241062 PECOS PAC ID: 1254588940 Enrollment ID: I20120831000481 |
| Provider Name | Jeremiah J Eisenschenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598050783 PECOS PAC ID: 8628227840 Enrollment ID: I20121003000886 |
| Provider Name | Emily M Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407113418 PECOS PAC ID: 8123269776 Enrollment ID: I20130725000042 |
| Provider Name | Steven L Senica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356419378 PECOS PAC ID: 5991867319 Enrollment ID: I20130726000610 |
| Provider Name | Chad James St Germain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609037035 PECOS PAC ID: 7012159387 Enrollment ID: I20130815000721 |
| Provider Name | Ryan P Wippler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205037538 PECOS PAC ID: 2668695073 Enrollment ID: I20140603000705 |
| Provider Name | Jessica Marie Titus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508032129 PECOS PAC ID: 8224253638 Enrollment ID: I20140626002647 |
| Provider Name | Jessica Elin Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568878072 PECOS PAC ID: 1153547104 Enrollment ID: I20140728001243 |
| Provider Name | Kristi Gebhardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962790287 PECOS PAC ID: 8426275900 Enrollment ID: I20140806001517 |
| Provider Name | Kelly A Spray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487095915 PECOS PAC ID: 2264659036 Enrollment ID: I20140819001507 |
| Provider Name | Nancy A Henry Socha |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699919290 PECOS PAC ID: 1759508625 Enrollment ID: I20140829000647 |
| Provider Name | Anne Marie Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053712489 PECOS PAC ID: 2365661410 Enrollment ID: I20140922002726 |
| Provider Name | Nathan Aaron Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477954576 PECOS PAC ID: 1153541198 Enrollment ID: I20140925001666 |
| Provider Name | Danette Lee Diethert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083014385 PECOS PAC ID: 4486874443 Enrollment ID: I20140925002342 |
| Provider Name | Adam Lee Purcell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215366380 PECOS PAC ID: 7517285638 Enrollment ID: I20150421000742 |
| Provider Name | Eric John Chapman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003136839 PECOS PAC ID: 1052622974 Enrollment ID: I20150618002672 |
| Provider Name | Tyler John Verworn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982966404 PECOS PAC ID: 5496995995 Enrollment ID: I20150702002597 |
| Provider Name | Michael J Ehlert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649447368 PECOS PAC ID: 8527299940 Enrollment ID: I20150713001065 |
| Provider Name | Johnathan Carl Valesano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093133043 PECOS PAC ID: 2860705266 Enrollment ID: I20150714001805 |
| Provider Name | Sarah A Osborne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255698775 PECOS PAC ID: 4880837624 Enrollment ID: I20150714002827 |
| Provider Name | Leah Marie Lempola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417336173 PECOS PAC ID: 1658685904 Enrollment ID: I20150731014603 |
| Provider Name | Eric James Zimmerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639315286 PECOS PAC ID: 9335365030 Enrollment ID: I20150825005868 |
| Provider Name | Kirsten Sjostrand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750512133 PECOS PAC ID: 1658676184 Enrollment ID: I20160222001913 |
| Provider Name | Annette F Bartel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417393687 PECOS PAC ID: 8325276306 Enrollment ID: I20160518000361 |
| Provider Name | Janet Elaine Macheledt |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376585281 PECOS PAC ID: 7315973898 Enrollment ID: I20160706001938 |
| Provider Name | Gregory Robert Stroh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023497112 PECOS PAC ID: 6103137831 Enrollment ID: I20160725002324 |
| Provider Name | Hollie Michelle Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821235128 PECOS PAC ID: 9234423286 Enrollment ID: I20160815000232 |
| Provider Name | Violet April Mussell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659724581 PECOS PAC ID: 9931494663 Enrollment ID: I20160819001588 |
| Provider Name | Daniel Verdon Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598104655 PECOS PAC ID: 5092093732 Enrollment ID: I20161031001383 |
| Provider Name | Andrew R Bader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720465552 PECOS PAC ID: 9739485327 Enrollment ID: I20170119002555 |
| Provider Name | Nicholas James Milanovich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992931778 PECOS PAC ID: 0446562516 Enrollment ID: I20170717001770 |
| Provider Name | Travis James Moncrief |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679831648 PECOS PAC ID: 4688970155 Enrollment ID: I20171012002716 |
| Provider Name | Shiela Marie Klemmetsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033555867 PECOS PAC ID: 2466751250 Enrollment ID: I20171109003471 |
| Provider Name | Shawn A Schreiner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538229422 PECOS PAC ID: 0244356210 Enrollment ID: I20180710003726 |
| Provider Name | Alec E Ganske |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952835050 PECOS PAC ID: 9931470259 Enrollment ID: I20180802001170 |
| Provider Name | Erin S Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568943090 PECOS PAC ID: 8022361559 Enrollment ID: I20181030001148 |
| Provider Name | Bryan C Mcdowell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043715477 PECOS PAC ID: 4981959236 Enrollment ID: I20190712000634 |
| Provider Name | Neil Joseph Kroll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386141810 PECOS PAC ID: 6608123716 Enrollment ID: I20190809001940 |
| Provider Name | Karli G Dullum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013558881 PECOS PAC ID: 4082945209 Enrollment ID: I20191018001190 |
| Provider Name | Samuel Jang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023515160 PECOS PAC ID: 4183975691 Enrollment ID: I20200521002748 |
| Provider Name | Gregory A Aird |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417512005 PECOS PAC ID: 7810221447 Enrollment ID: I20200714000074 |
| Provider Name | David Francis Malyuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073174694 PECOS PAC ID: 6709201007 Enrollment ID: I20200804001138 |
| Provider Name | Michael J Curran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609846476 PECOS PAC ID: 5193757268 Enrollment ID: I20200814001851 |
| Provider Name | Tomas Victorino Gonzalez Cano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174187454 PECOS PAC ID: 3870919103 Enrollment ID: I20200818001647 |
| Provider Name | Gates Cook |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851748834 PECOS PAC ID: 3375944523 Enrollment ID: I20210625001873 |
| Provider Name | John Patrick Welby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831728195 PECOS PAC ID: 5991121725 Enrollment ID: I20210722002222 |
| Provider Name | Eyal D Ron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992324651 PECOS PAC ID: 1759708258 Enrollment ID: I20210722003676 |
| Provider Name | Wade H Nedderman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649807181 PECOS PAC ID: 4688005366 Enrollment ID: I20210723000819 |
| Provider Name | Marika Adrienne Dudiak Pitot |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306472303 PECOS PAC ID: 1254758998 Enrollment ID: I20210802003305 |
| Provider Name | Sean Huls |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831718287 PECOS PAC ID: 3779988894 Enrollment ID: I20210826002797 |
| Provider Name | Claude C Perkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235120775 PECOS PAC ID: 8022111822 Enrollment ID: I20211213001944 |
| Provider Name | Amber Michelle Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902564818 PECOS PAC ID: 9931591500 Enrollment ID: I20220112001269 |
| Provider Name | Lindsay Nicole Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770242513 PECOS PAC ID: 7911390679 Enrollment ID: I20220202001379 |
| Provider Name | William Warren Sheaffer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750768388 PECOS PAC ID: 5991012569 Enrollment ID: I20220912000829 |
| Provider Name | Daniel Moloney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548231301 PECOS PAC ID: 0446505267 Enrollment ID: I20230222001611 |
| Provider Name | Jennifer Michelle Vanhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760191944 PECOS PAC ID: 6002281300 Enrollment ID: I20230418001515 |
Brainerd Medical Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 Fax: 218-828-7194 | |
Essentia Health St. Joseph's -brainerd Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 Fax: 218-828-7194 | |
North Star Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4682 Wilderness Ct Ste 102, Brainerd, MN 56401 Phone: 218-382-2870 | |
North Central Cardiovascular Diagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-855-5280 Fax: 218-855-5284 | |
Essentia Health St Joseph's-orthopedics Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 S 6th St, Brainerd, MN 56401 Phone: 218-829-7812 |