Active NPI
Nature Break Wellness LLC
- Family Nurse Practitioner
- Hillman, MN
National Provider Identifier
1144022658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- NATURE BREAK WELLNESS LLC
- Practice address
- 35294 Logan LN
Hillman, MN 56338-2445 - Phone
- (320) 630-9116
- NPI assigned
- Mar 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Mary Gall, NP
- Title
- President/Ceo
- Phone
- (320) 630-9116
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Massage Therapist (NMT) | 163WM1400X | |||
| Nursing Care Agency | 251J00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
35294 Logan LN
Hillman, MN 56338-2445
Mailing address
35294 Logan LN
Hillman, MN 56338-2445
Phone (320) 630-9116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250602002944 | MN | Part B Supplier - Clinic/Group Practice | 7113436163 |
Receives reassigned benefits from 1 practitioner Practice locations: Hillman, MN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Hillman, MN
- NPI 1932180973
MN, Nurse Massage Therapist (NMT)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747699200000",
"number": "1144022658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35294 LOGAN LN",
"city": "HILLMAN",
"state": "MN",
"postal_code": "563382445",
"telephone_number": "320-630-9116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35294 LOGAN LN",
"city": "HILLMAN",
"state": "MN",
"postal_code": "563382445",
"telephone_number": "320-630-9116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURE BREAK WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-25",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A",
"authorized_official_last_name": "GALL",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "320-630-9116",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "163WM1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillman, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.