Brenda Anderson, MSN, APRN, CNP

Key facts

NPI

1609632009

Entity type

Individual (NPI type 1)

Primary specialty

Gerontology Nurse Practitioner 363LG0600X

License

11571 (MN)

Practice address

5200 Fairview Blvd
Wyoming, MN 55092-8013

Phone

(612) 720-5550

NPI assigned

Feb 23, 2024

Sex

Female

Sole proprietor

No

Organizations & group practices 5

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.

• Fairview Clinics Primary Care Clinic/Center · Minneapolis, MN · NPI 1346432218
  Medicare reassignment Care Compare group NPD MN
• Fairview Clinics Specialist · River Falls, WI · NPI 1811550155
  Care Compare group
• Fairview Clinics Primary Care Clinic/Center · Saint Paul, MN · NPI 1396552147
  NPD
• Fairview Clinics Primary Care Clinic/Center · Apple Valley, MN · NPI 1649462508
  NPD
• Fairview Clinics Multi-Specialty Clinic/Center · Maple Grove, MN · NPI 1841315165
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairview Clinics (799 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairview Lakes Health Services Hospital · Wyoming, MN · CCN 240050

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: banderson467889@fairview.direct-ci.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 3, 2026.

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1609632009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19998 ENFIELD AVE N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550258068",
            "telephone_number": "612-720-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 FAIRVIEW BLVD",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928013",
            "telephone_number": "612-720-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRENDA",
        "credential": "MSN, APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "11571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MN

• Scott Ward Ahrenholz, D.O.
• Olutoyin Akintola, MD
• Joseph Alfano, MD
• Altitude Living Inc
• Jennifer Lynn Altnow, DPT
• Donald J Anderson, MD
• Matthew William Anderson, MD
• Stephanie Annala, RN
• Annetta M Atchison, CRNA
• Rachel Ann Baar, MS, RD, LD

All providers in Wyoming, MN · Gerontology Nurse Practitioner in Minnesota