Individual provider Active NPI

Twyla Gifford, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brainerd, MN
National Provider Identifier
1265998207
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6349 Issued in MN
Practice address
1024 Thiesse Rd
Brainerd, MN 56401-6532
Phone
(218) 245-4118
Fax
(218) 454-0710
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6349 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6349 MN Primary

Addresses

Primary practice location

1024 Thiesse Rd
Brainerd, MN 56401-6532

Mailing address

1024 Thiesse Rd
Brainerd, MN 56401-6532
Phone (218) 245-4118

Other practice location 1

121 Washington Ave N
Minneapolis, MN 55401-2503
Phone (800) 465-3203

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
I20240810000369 MN Practitioner - Nurse Practitioner 3476880014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Brainerd Lakes Area Psychiatry LLCGroup PAC ID 3870031727, 2 clinicians

Practice addresses (Care Compare)

1024 Thiesse Rd
Brainerd, MN 56401-6532
Phone (218) 245-4118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6349MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shine on Speech Therapy LLC PastSince Aug 11, 2024 Accepting new patients
Community Behavioral Health Hospital-Fergus Falls PastSince Oct 1, 2024 Accepting new patients

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": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1265998207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 THIESSE RD",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564016532",
            "telephone_number": "218-245-4118",
            "fax_number": "218-454-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 THIESSE RD",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564016532",
            "telephone_number": "218-245-4118",
            "fax_number": "218-454-0710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Washington Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554012503",
            "country_code": "US",
            "telephone_number": "800-465-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "TWYLA",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6349",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "6349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

Verify at the official NPI Registry.