Individual provider Active NPI

Carol Marguerite Brinkman, RN CNP

  • Nurse Practitioner
  • Waite Park, MN
National Provider Identifier
1578560405
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0382194 Issued in MN
Practice address
223 3Rd St NE
Waite Park, MN 56387-1271
Phone
(763) 272-1500
NPI assigned
Jul 7, 2005
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0382194 MN Primary

Addresses

Primary practice location

223 3Rd St NE
Waite Park, MN 56387-1271

Mailing address

223 3Rd St NE
Waite Park, MN 56387-1271
Phone (763) 272-1500

Other identifiers 7

IdentifierTypeStateIssuer
131006D034OtherMNUCARE
MR143-1043267OtherMNPREFERRED ONE
786175300MedicaidMN
031216004OtherMNPRIME WEST
64350BROtherMNBLUE CROSS BLUE SHIELD
01-14662OtherMNMEDICA
HP50654OtherMNHEALTH PARTNERS

Other names 1

  • Miss Carol Marguerite Troje Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110107000702 MN Practitioner - Nurse Practitioner 0042409971
I20251030002303 TN Practitioner - Nurse Practitioner 0042409971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17455 55TH St NE
Foley, MN 56329-9764

1909 Mallory LN
Suite 108
Franklin, TN 37067-2830

223 3Rd St NE
Waite Park, MN 56387-1271

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38276TNMDPharmacist
0382194MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forever Young Two Medical and Skincare Nurse Practitioner CurrentSince Nov 24, 2025 Accepting new patients
Nashville Hormone & Integrative Medicine Center, LLC CurrentSince Sep 10, 2025 Accepting new patients

Locations

223 3rd St NE
Waite Park, MN 56387
Phone (763) 272-1500

1909 Mallory Ln
Ste 108
Franklin, TN 37067
Phone (615) 771-7220

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1578560405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 3RD ST NE",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871271",
            "telephone_number": "763-272-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 3RD ST NE",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871271",
            "telephone_number": "763-272-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "CAROL",
        "middle_name": "MARGUERITE",
        "name_prefix": "Mrs.",
        "credential": "RN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "0382194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "131006D034",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "MR143-1043267",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "786175300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME WEST",
            "identifier": "031216004",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "64350BR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "01-14662",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP50654",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "TROJE",
            "middle_name": "MARGUERITE",
            "prefix": "MISS",
            "credential": "RN CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waite Park, MN

Sources for this page

Verify at the official NPI Registry.