Active NPI
Brooke Maleszewski
- Nurse Practitioner
- Rochester, MN
National Provider Identifier
1255847059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5996
- Practice address
- 821 3Rd Ave SE Ste 15
Rochester, MN 55904 - Phone
- (507) 292-1170
- NPI assigned
- Dec 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5996 | MN | Primary |
Addresses
Primary practice location
821 3Rd Ave SE Ste 15
Rochester, MN 55904
Mailing address
1 Veterans Dr
Minneapolis, MN 55417-2309
Phone (586) 713-8587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5996 | Other | MN | MN BOARD OF NURSING |
Other names 1
- Miss Brooke Darga
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1255847059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VETERANS DR",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172309",
"telephone_number": "586-713-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 3RD AVE SE STE 15",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55904",
"telephone_number": "507-292-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALESZEWSKI",
"first_name": "BROOKE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-17",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "5996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BOARD OF NURSING",
"identifier": "5996",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "DARGA",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.