Individual provider Active NPI

Elizabeth A Braun, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomington, MN
National Provider Identifier
1245846740
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7749 Issued in MN
Practice address
7900 International Dr
Bloomington, MN 55425-1510
Phone
(612) 420-5293
Fax
(800) 580-1281
NPI assigned
Sep 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7749 MN Primary

Addresses

Primary practice location

7900 International Dr
Bloomington, MN 55425-1510

Mailing address

7900 International Dr
Bloomington, MN 55425-1510
Phone (612) 420-5293

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
I20201008001560 MN Practitioner - Nurse Practitioner 3476973660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

1345 Mendota Heights Rd
Suite 600
Mendota Heights, MN 55120-2006
Phone (651) 313-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7749MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwise Psychology, PA CurrentSince Oct 1, 2020 Accepting new patients
Nystrom & Associates, LTD CurrentSince Apr 13, 2026 Accepting new patients
Scott M Yarosh, LLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

4820 77th St W
Ste 130
Edina, MN 55435
Phone (320) 591-3559

11280 86th Ave N
Maple Grove, MN 55369
Phone (763) 400-7828

1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 583-4447

1345 Mendota Heights Rd
Ste 600
Mendota Heights, MN 55120

18205 45th Ave N
Plymouth, MN 55446
Phone (763) 400-7828

1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1245846740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 INTERNATIONAL DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251510",
            "telephone_number": "612-420-5293",
            "fax_number": "800-580-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 INTERNATIONAL DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251510",
            "telephone_number": "612-420-5293",
            "fax_number": "800-580-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "7749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.