Individual provider Active NPI

Shari Vanbriesen

  • Nurse Practitioner
  • Benson, MN
National Provider Identifier
1124442934
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R1344901 Issued in MN
Practice address
1810 McKinney Ave
Benson, MN 56215-1638
Phone
(320) 843-2030
Fax
(320) 843-4806
NPI assigned
Feb 13, 2014
Last updated
Feb 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R1344901 MN Primary

Addresses

Primary practice location

1810 McKinney Ave
Benson, MN 56215-1638

Mailing address

1810 McKinney Ave
Benson, MN 56215-1638
Phone (320) 843-2030

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140428000985 MN Practitioner - Nurse Practitioner 6709939192 Reassigns benefits to 3 organizations

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 LLCGroup PAC ID 1850761685, 12 clinicians
Swift County-Benson HospitalGroup PAC ID 8729069281, 9 clinicians

Practice addresses (Care Compare)

1815 Wisconsin Ave
Benson, MN 56215-1653
Phone (320) 843-4232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
84.23
Promoting interoperability
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R1344901MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Health - Benson LLC CurrentSince Jan 17, 2023 Accepting new patients
Swift County Benson Hospital CurrentSince Jun 1, 2014 Accepting new patients
Swift County-Benson Hospital CurrentSince Jun 1, 2014 Accepting new patients
Centracare Health - Benson LLC CurrentSince Jan 17, 2023 Accepting new patients

Locations

1810 McKinney Ave
Benson, MN 56215
Phone (320) 843-2030

1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454

Interoperability endpoints

  • Direct secure messaging: svanbriesen459459@direct.centracare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.