Aimee Lyn Tebrake, CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

R 1189056 Issued in MN

Practice address

502 2ND St SW
Willmar, MN 56201-3365

Phone

(320) 235-7232

Fax

(320) 231-8609

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centracare Clinic Southwest LLCGroup PAC ID 8426457946, 172 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centracare- Rice Memorial Hospital Hospital, Willmar, MN, CCN 240088

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atebrake29696@direct.centracare.com

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.

• Centracare Clinic Southwest LLC

  • Multi-Specialty Clinic/Center
  • Willmar, MN
  • NPI 1174106264
  Medicare reassignment Care Compare group NPD
• Carris Health LLC

  dba CentraCare - Rice Memorial Hospital

  • Emergency Medicine Physician
  • Willmar, MN
  • NPI 1134632680

  Clinical Nurse Specialist

  Medicare reassignment NPD
• Affiliated Community Medical Centers, LTD

  • Multi-Specialty Clinic/Center
  • Willmar, MN
  • NPI 1952363699
  NPD
• Centracare Clinic Southwest LLC

  • Durable Medical Equipment & Medical Supplies
  • Willmar, MN
  • NPI 1912664889
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carris Health LLC

  dba CentraCare - Rice Memorial Hospital

  • Infusion Therapy Clinic/Center
  • Willmar, MN
  • NPI 1124657150

  Hospital

  Care Compare affiliation
• Carris Health LLC

  dba CentraCare - Rice Memorial Hospital

  • General Acute Care Hospital
  • Willmar, MN
  • NPI 1407367030
  Care Compare affiliation

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1467558197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 2ND ST SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013365",
            "telephone_number": "320-235-7232",
            "fax_number": "320-231-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 2ND ST SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013365",
            "telephone_number": "320-235-7232",
            "fax_number": "320-231-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBRAKE",
        "first_name": "AIMEE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MN",
            "license": "R 1189056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner John Swystun, DC
• Martha Anne Tack, FNP
• Sarah Tanner, OTR
• Kelly Taunton
• Karen Denese Taylor-Crawford, MD
• Technical Academies of Minnesota
• Shannon Marie Templer, BSN, RN, CLC
• Kristen Thaden
• Lisa Renee Thielke, APRN, CNP, PMHNP-BC
• Michelle Thomas

• Clinical Nurse Specialist in Willmar, MN
• Providers in Willmar, MN by specialty
• Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.