Rose I Brakke, AUD
Individual provider Active NPI Audiologist · West Fargo, ND
NPI 1023297348 · NPPES record last updated Feb 27, 2026
Key facts
- NPI
- 1023297348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 989 (ND)
- Practice address
- 3139 Blue Stem Dr Ste 108
West Fargo, ND 58078-8060 - Phone
- (701) 639-4595
- Fax
- (701) 639-6979
- NPI assigned
- Nov 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Heartland Hearing Professionals PLLC
Practice addresses (Care Compare)
3139 Bluestem Dr
Suite 108
West Fargo, ND 58078-8060
Phone (701) 205-1277
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071127000146 | ND | Practitioner - Qualified Audiologist | 3870681935 | Reassigns benefits to 1 organization |
| I20160815002918 | MN | Practitioner - Qualified Audiologist | 3870681935 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8241 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Hearing Professionals PLLC | Current |
Accepting new patients |
Locations
3139 Bluestem Dr
Ste 108
West Fargo, ND 58078
Phone (701) 639-4595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 989 | ND | Yes |
Addresses
Primary practice location
3139 Blue Stem Dr Ste 108
West Fargo, ND 58078-8060
Mailing address
3139 Bluestem Dr Ste 108
West Fargo, ND 58078-8060
Phone (701) 639-4595
Other names
- Rose I Cotton
Other providers in West Fargo, ND
- Allison Bolin
- Ronald J Borowicz
- Madison Rae Bosh
- Zachary Mathew Bowe
- Olivia Boyd
- Brenda Leigh Bratton
- Teri J Brekke
- Susan Lynn Brenan
- Bridging the Gap
- Erika Rae Briggs
All providers in West Fargo, ND · Audiologist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.