Organization Active NPI

Aeris Care Network PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Golden Valley, MN
National Provider Identifier
1134068992
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
AERIS CARE NETWORK PLLC
Practice address
820 Lilac Dr N Ste 140
Golden Valley, MN 55422-4791
Phone
(763) 465-0500
Fax
(763) 465-0588
NPI assigned
Mar 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
McKenzie Brace, CNPNPI 1508416579
Title
Nurse Practitioner
Phone
(763) 465-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

820 Lilac Dr N Ste 140
Golden Valley, MN 55422-4791

Mailing address

820 Lilac Dr N Ste 140
Golden Valley, MN 55422-4791
Phone (763) 465-0500

National Provider Directory

National Provider Directory

Locations

820 Lilac Dr N
Ste 140
Minneapolis, MN 55422
Phone (763) 465-0500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1134068992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 LILAC DR N STE 140",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224791",
            "telephone_number": "763-465-0500",
            "fax_number": "763-465-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 LILAC DR N STE 140",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224791",
            "telephone_number": "763-465-0500",
            "fax_number": "763-465-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AERIS CARE NETWORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "BRACE",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "763-465-0500",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.