Active NPI
Brenda S. Enright, NURSE PRACTITIONER
- Family Nurse Practitioner
- Grand Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R192321-2
- Practice address
- 1601 Golf Course Rd
Grand Rapids, MN 55744-8648 - Phone
- (218) 326-5000
- NPI assigned
- Aug 16, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704133894 | MI | |
| Family Nurse Practitioner | 363LF0000X | R192321-2 | MN | Primary |
Addresses
Primary practice location
1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Mailing address
19009 Sugar Lake TRL
Cohasset, MN 55721-8950
Phone (218) 326-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R192323-2 | Other | MN | MN REGISTERED NURSE LICENSE |
| 4704133894 | Other | MI | MICHIGAN STATE LICENSE # |
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cuyuna Regional Medical Center
Practice addresses (Care Compare)
320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704133894 | MI | MD | Nurse Practitioner |
| R192321-2 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuyuna Regional Medical Center | Current | Accepting new patients | |
| Cuyuna Regional Medical Center | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Cuyuna Regional Medical Center | Current | Accepting new patients |
Locations
320 E Main St
Crosby, MN 56441
Phone (218) 546-7000
111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401
126 SE 1st Ave
Grand Rapids, MN 55744
Phone (218) 326-3401
1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401
Interoperability endpoints
- benright292833@excellian.direct.allina.com
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.
-
- Critical Access Hospital
- Crosby, MN
- NPI 1538143896
-
- Family Medicine Physician
- Longville, MN
- NPI 1861414518
-
- General Acute Care Hospital
- Grand Rapids, MN
- NPI 1669426631
-
- Critical Access Hospital Clinic/Center
- Crosby, MN
- NPI 1639459282
-
- Community/Retail Pharmacy
- Grand Rapids, MN
- NPI 1225441157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1801088505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19009 SUGAR LAKE TRL",
"city": "COHASSET",
"state": "MN",
"postal_code": "557218950",
"telephone_number": "218-326-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 GOLF COURSE RD",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557448648",
"telephone_number": "218-326-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIGHT",
"first_name": "BRENDA",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704133894",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R192321-2",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN REGISTERED NURSE LICENSE",
"identifier": "R192323-2",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN STATE LICENSE #",
"identifier": "4704133894",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.