Lucy R Brink, RN CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

540 Issued in MN

Practice address

1804 Trott Ave SW
Willmar, MN 56201-2743

Phone

(320) 214-7286

Fax

(320) 214-7223

NPI assigned

Dec 11, 2013

Last updated

Oct 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Community Health Service IncGroup PAC ID 4486930195, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbrink817326@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health Service Inc.

  • Federally Qualified Health Center (FQHC)
  • Moorhead, MN
  • NPI 1316921406
  Medicare reassignment Care Compare group NPD
• Community Health Service Inc.

  • Federally Qualified Health Center (FQHC)
  • Grafton, ND
  • NPI 1114478823
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1033540471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 TROTT AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012743",
            "telephone_number": "320-214-7286",
            "fax_number": "320-214-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 TROTT AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012743",
            "telephone_number": "320-214-7286",
            "fax_number": "320-214-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "LUCY",
        "middle_name": "R",
        "credential": "RN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Boyd, DO
• Melissa Christine Bray-Iverslie, FNP-BC
• Kay L Breen, M.D.
• Thomas A Breen, MD
• Jaime Bremseth, MS
• Brookdale Senior Living Communities, Inc. (Sterling House of Willmar)
• Marnie Jo Brooks Steinwand, LMFT
• Tory Brouwer
• Tyler J Brower, DPT
• Courtney Bruyere

• Primary Care Nurse Practitioner in Willmar, MN
• Providers in Willmar, MN by specialty
• Primary Care Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.