Bryan R. Carleton, APRN, DNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Faribault, MN
NPI 1902201700 · NPPES record last updated May 1, 2025
Key facts
- NPI
- 1902201700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 2593 (MN)
- Practice address
- 400 4TH St NW
Faribault, MN 55021-5089 - Phone
- (507) 384-6830
- NPI assigned
- Oct 23, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 27
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southern Cities Clinic
Practice addresses (Care Compare)
400 4TH St NW
Faribault, MN 55021-5031
Phone (507) 384-6830
Hospital & facility affiliations
- Mayo Clinic Health System - Waseca
- Winona Health Services
- Mayo Clinic Health System - Fairmont
- Abbott Northwestern Hospital
- United Hospital District
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161212000003 | MN | Practitioner - Nurse Practitioner | 3173847530 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2593 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Cities Community Clinic | Past |
Accepting new patients | |
| Psychotherapy & Healing Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2593 | MN | Yes |
Addresses
Primary practice location
400 4TH St NW
Faribault, MN 55021-5089
Mailing address
400 4TH St NW
Faribault, MN 55021-5089
Phone (507) 384-6830
Other practice location 1
8085 Wayzata Blvd Ste 203
St Louis Park, MN 55426-1461
Phone (612) 296-3800
Other providers in Faribault, MN
- James Henry Cannaday
- Cannon River Stem School
- Sarah Grace Cantrell
- Raquel Cardenas-Stophel
- Caring Connections LLC
- Megan Murphy Carlson
- Siri Carlson
- Emily Jean Carroll
- Debra Lynn Carter-Barth
- Ashley Casillas
All providers in Faribault, MN · Psychiatric/Mental Health Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.