Active NPI
Rachel Leigh Debruyne, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Duluth, MN
National Provider Identifier
1700660446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10601
- Practice address
- 810 E 4TH St
Duluth, MN 55805-2147 - Phone
- (218) 728-4491
- Fax
- (218) 302-8698
- NPI assigned
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10601 | MN | Primary |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 2458596 | MN |
Addresses
Primary practice location
810 E 4TH St
Duluth, MN 55805-2147
Mailing address
1401 East 1St Street
Duluth, MN 55805-2407
Phone (218) 728-4491
Other practice location 1
120 W 2nd St
Duluth, MN 55802-2017
Phone (218) 728-4491
Other practice location 2
1401 East 1st Street
Duluth, MN 55805-2407
Phone (218) 728-4491
Other practice location 3
325 11th Ave
Two Harbors, MN 55616-1300
Phone (218) 834-5520
Other practice location 4
40 11th St
Cloquet, MN 55720-1817
Phone (218) 879-4559
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
810 E 4TH St
Duluth, MN 55805-2147
Phone (218) 728-4491
Hospital & facility affiliations
- St Lukes Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2458596 | MN | MD | Adult Psychiatric/Mental Health Registered Nurse |
| 10601 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightwater Health Dba Human Development Center | Current | Accepting new patients | |
| Brightwater Health Dba Human Development Center | Past | Accepting new patients |
Locations
40 11th St
Cloquet, MN 55720
Phone (218) 879-4559
1401 E 1st St
Duluth, MN 55805
Phone (218) 728-4491
810 E 4th St
Duluth, MN 55805
Phone (218) 728-4491
120 W 2nd St
Duluth, MN 55802
Phone (218) 728-4491
325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520
629 1st Ave
Two Harbors, MN 55616
Phone (218) 834-5520
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Duluth, MN
- NPI 1194790733
-
- Community/Behavioral Health Agency
- Cloquet, MN
- NPI 1114048527
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Duluth, MN
- NPI 1093769796
Hospital
-
- Vascular & Interventional Radiology Physician
- Duluth, MN
- NPI 1124732110
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1700660446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 EAST 1ST STREET",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052407",
"telephone_number": "218-728-4491",
"fax_number": "218-302-8698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E 4TH ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052147",
"telephone_number": "218-728-4491",
"fax_number": "218-302-8698"
}
],
"practiceLocations": [
{
"address_1": "120 W 2nd St",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558022017",
"country_code": "US",
"telephone_number": "218-728-4491",
"fax_number": "218-302-8698",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 East 1st Street",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558052407",
"country_code": "US",
"telephone_number": "218-728-4491",
"fax_number": "218-302-8698",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "325 11th Ave",
"address_purpose": "LOCATION",
"city": "Two Harbors",
"state": "MN",
"postal_code": "556161300",
"country_code": "US",
"telephone_number": "218-834-5520",
"fax_number": "218-834-4264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40 11th St",
"address_purpose": "LOCATION",
"city": "Cloquet",
"state": "MN",
"postal_code": "557201817",
"country_code": "US",
"telephone_number": "218-879-4559",
"fax_number": "218-879-0282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEBRUYNE",
"first_name": "RACHEL",
"middle_name": "LEIGH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "10601",
"primary": true
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MN",
"license": "2458596",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.