Active NPI
Shari Vanbriesen
- Nurse Practitioner
- Benson, MN
National Provider Identifier
1124442934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R1344901
- Practice address
- 1810 McKinney Ave
Benson, MN 56215-1638 - Phone
- (320) 843-2030
- Fax
- (320) 843-4806
- NPI assigned
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Benson, MN
- NPI 1023728516
-
- Medicare Defined Swing Bed Hospital Unit
- Benson, MN
- NPI 1689384174
-
- Family Medicine Physician
- Benson, MN
- NPI 1174077739
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Benson, MN
- NPI 1689384174
Nursing home
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centracare Health - Benson LLCSwift County-Benson Hospital
Practice addresses (Care Compare)
1815 Wisconsin Ave
Benson, MN 56215-1653
Phone (320) 843-4232
Hospital & facility affiliations
- Centracare Hospice
- Centracare - Benson
- Centracare- Rice Memorial Hospital
- Centracare - Benson
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 84.23
- Promoting interoperability
- 80
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140428000985 | MN | Practitioner - Nurse Practitioner | 6709939192 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1344901 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swift County-Benson Hospital | Current | Accepting new patients | |
| Swift County Benson Hospital | Current | Accepting new patients | |
| Centracare Health - Benson LLC | Current | Accepting new patients | |
| Centracare Health - Benson LLC | Current | Accepting new patients |
Locations
1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454
1810 McKinney Ave
Benson, MN 56215
Phone (320) 843-2030
Interoperability endpoints
- svanbriesen459459@direct.centracare.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R1344901 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1810 McKinney Ave
Benson, MN 56215-1638
Mailing address
1810 McKinney Ave
Benson, MN 56215-1638
Phone (320) 843-2030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2014.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1124442934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 MCKINNEY AVE",
"city": "BENSON",
"state": "MN",
"postal_code": "562151638",
"telephone_number": "320-843-2030",
"fax_number": "320-843-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 MCKINNEY AVE",
"city": "BENSON",
"state": "MN",
"postal_code": "562151638",
"telephone_number": "320-843-2030",
"fax_number": "320-843-4806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANBRIESEN",
"first_name": "SHARI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R1344901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.