Active NPI
Brenda Novacinski, NP
- Nurse Practitioner
- Roseville, MN
National Provider Identifier
1851669113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 363L00000X
- Practice address
- 2401 Fairview Ave N # 145
Roseville, MN 55113-2708 - Phone
- (763) 225-9050
- NPI assigned
- Dec 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP1068 | MN | |
| Gerontology Nurse Practitioner | 363LG0600X | 1068 | MN | |
| Nurse Practitioner | 363L00000X | 363L00000X | MN | Primary |
Addresses
Primary practice location
2401 Fairview Ave N # 145
Roseville, MN 55113-2708
Mailing address
1000 41St Ave NE #120
Columbia Heights, MN 55421-4121
Phone (763) 788-0145
Other practice location 1
3633 Bunker Lake Blvd NW
Andover, MN 55304-7402
Phone (763) 421-5011
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Brenda.Novacinski@499749571198980.direct.elationemr.com | Direct | Herself Health MN PC |
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2401 Fairview Ave N
Suite 145
Roseville, MN 55113-2708
Phone (612) 256-8225
Hospital & facility affiliations
- Abbott Northwestern Hospital
- M Health Fairview St John'S Hospital
- Allina United Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.23 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 83.31
- Improvement activities
- 40
- Cost
- 83.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1068 | MN | MD | Podiatrist |
| 363L00000X | MN | MD | Nurse Practitioner |
| CNP1068 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herself Health MN PC | Current | Accepting new patients |
Locations
2004 Ford Pkwy
Saint Paul, MN 55116
Phone (612) 256-8225
2401 Fairview Ave N
Ste 145
Saint Paul, MN 55113
Phone (763) 225-9050
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- brenda.novacinski.1@31254.direct.athenahealth.com
- brenda.novacinski@499749571198980.direct.elationemr.com
- https://api.platform.athenahealth.com/31254/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1326775420
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1851669113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 41ST AVE NE #120",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554214121",
"telephone_number": "763-788-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 FAIRVIEW AVE N # 145",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132708",
"telephone_number": "763-225-9050"
}
],
"practiceLocations": [
{
"address_1": "3633 Bunker Lake Blvd NW",
"address_purpose": "LOCATION",
"city": "Andover",
"state": "MN",
"postal_code": "553047402",
"country_code": "US",
"telephone_number": "763-421-5011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOVACINSKI",
"first_name": "BRENDA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "CNP1068",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "1068",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "363L00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Brenda.Novacinski@499749571198980.direct.elationemr.com",
"affiliation": "Y",
"affiliationName": "Herself Health MN PC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 Fairview Ave N # 145",
"city": "Roseville",
"state": "MN",
"country_code": "US",
"postal_code": "551132708",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.