Brittany Ann Debeltz, APRN, DNP, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Cook, MN
NPI 1336662105 · NPPES record last updated Oct 5, 2020
Key facts
- NPI
- 1336662105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5398 (MN)
- Practice address
- 20 5TH St SE
Cook, MN 55723-9702 - Phone
- (218) 666-5941
- NPI assigned
- Jul 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Feb 17, 2022 through Feb 17, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1962969 | MN | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge to Health, P.a. | Current |
Accepting new patients |
Interoperability endpoints
- brittany.debeltz@354384905240580.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 1962969 | MN | |
| Family Nurse Practitioner | 363LF0000X | 5398 | MN | Yes |
Addresses
Primary practice location
20 5TH St SE
Cook, MN 55723-9702
Mailing address
20 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5941
Other names
- Brittany Ann White
Other providers in Cook, MN
- Cook Hospital
- Cook Hospital
- Cook Hospital
- Cook Hospital Pharmacy
- Kaycee Mae Danielson
- Lynne M Didrikson I
- Eric Elleby
- Franks Pharmacy Inc
- Bruce David Garbisch
- Kelli Hansen
All providers in Cook, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.