Christie Brockman, DNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

7630 Issued in MN

Practice address

525 Portland Ave
Minneapolis, MN 55415-1533

Phone

(612) 596-9069

NPI assigned

Sep 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northfield Hospital 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northfield Hospital Hospital, Northfield, MN, CCN 240014

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Northfield Hospital

  • Rural Acute Care Hospital
  • Northfield, MN
  • NPI 1417990805

  MN

  Medicare reassignment Care Compare group NPD
• Hennepin County

  • Psychiatry Physician
  • Minneapolis, MN
  • NPI 1780790345

  MN

  Medicare reassignment NPD
• Northfield Hospital

  • Orthopaedic Surgery Physician
  • Northfield, MN
  • NPI 1205862844
  Care Compare group
• Northfield Hospital

  • Multi-Specialty Clinic/Center
  • Northfield, MN
  • NPI 1255367629
  Care Compare group
• Northfield Hospital

  • Urgent Care Clinic/Center
  • Northfield, MN
  • NPI 1437668159
  Care Compare group
• Northfield Hospital

  • Primary Care Clinic/Center
  • Kenyon, MN
  • NPI 1518631407
  Care Compare group
• Northfield Hospital

  • Multi-Specialty Clinic/Center
  • Faribault, MN
  • NPI 1588112098
  Care Compare group
• Northfield Hospital

  • Primary Care Clinic/Center
  • Farmington, MN
  • NPI 1588692669
  Care Compare group
• Northfield Hospital

  • Primary Care Clinic/Center
  • Lakeville, MN
  • NPI 1669685608
  Care Compare group
• Hennepin County

  • Community Health Clinic/Center
  • Minneapolis, MN
  • NPI 1154774925
  NPD
• Hennepin County

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1962147413
  NPD
• Northfield Hospital

  • Optometrist
  • Northfield, MN
  • NPI 1073791166
  NPD

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

• Northfield Hospital

  • Rural Acute Care Hospital
  • Northfield, MN
  • NPI 1417990805

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1497274542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19269 DONNELLY AVE",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550339553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151533",
            "telephone_number": "612-596-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "CHRISTIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R153616-2",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "7630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifton O Brock
• Joshua Brockbank, PHARMD, BCPP
• Dustin Brockberg, PHD
• Kerry Ryan Brockberg, PH.D., LP
• Halley Bright Brocker, LICSW
• Cole Alan Brockman, OTD
• Erik Christopher Brockman, M.D.
• Lisa Kay Brockman, LGSW
• Taylor Brockman, MD
• Melodie Sue Broden, PH.D., LP

• All providers in Minneapolis, MN
• Women's Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.