Individual provider Active NPI

Braniesney Guevara, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Waite Park, MN
National Provider Identifier
1922674522
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8304 Issued in MN
Practice address
1119 Cherrywood CT
Waite Park, MN 56387-4503
Phone
(612) 393-6636
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8304 MN Primary
Family Nurse Practitioner 363LF0000X 11705394-4405 UT

Addresses

Primary practice location

1119 Cherrywood CT
Waite Park, MN 56387-4503

Mailing address

1119 Cherrywood CT
Waite Park, MN 56387-4503
Phone (612) 393-6636

Other practice location 1

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone (218) 847-5611

Other names 1

  • Braniesney Ortiz Camacho Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210819003650 UT Practitioner - Nurse Practitioner 9436554052 Reassigns benefits to 1 organization
I20220428000898 MN Practitioner - Nurse Practitioner 9436554052 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Regional Health CenterGroup PAC ID 2062326820, 190 clinicians

Practice addresses (Care Compare)

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone (218) 847-5611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11705394-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Health System - Sauk Centre Current Accepting new patients
Mille Lacs Health System Current Accepting new patients
Centracare Health-Paynesville LLC CurrentSince Feb 1, 2025 Accepting new patients
Molina Healthcare of Utah Inc Family CurrentSince Aug 23, 2021 Accepting new patients
Rejuv Medical, P.a. Family CurrentSince Nov 22, 2023 Accepting new patients
Mille Lacs Health System Current Accepting new patients
Mille Lacs Health System Current Accepting new patients
St. Marys Regional Health Center Current Accepting new patients
Glencoe Regional Health Services CurrentSince May 14, 2024 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Nov 12, 2023 Accepting new patients
Centracare Health System - Long Prairie CurrentSince Oct 1, 2023 Accepting new patients
Centracare Health-Paynesville LLC Current Accepting new patients
St. Mary's Regional Health Center CurrentSince Oct 20, 2025 Accepting new patients
Centracare Health System - Melrose CurrentSince Oct 1, 2023 Accepting new patients
Mille Lacs Health System CurrentSince Mar 7, 2022 Accepting new patients
Mille Lacs Health System CurrentSince Mar 7, 2022 Accepting new patients
St Mary's Regional Health Center CurrentSince Oct 20, 2025 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Nov 12, 2023 Accepting new patients
Centracare Health-Paynesville LLC CurrentSince Feb 1, 2025 Accepting new patients
Glencoe Regional Health Services CurrentSince May 14, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300

27378 State Highway 18
Garrison, MN 56450
Phone (320) 692-5599

1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121

50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

901 3rd St N
Waite Park, MN 56387
Phone (320) 217-8480

7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966

Interoperability endpoints

  • Direct secure messaging: bguevara763215@direct.centracare.com
  • FHIR API: https://api.platform.athenahealth.com/32275/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1922674522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 CHERRYWOOD CT",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563874503",
            "telephone_number": "612-393-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 CHERRYWOOD CT",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563874503",
            "telephone_number": "612-393-6636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit Lakes",
            "state": "MN",
            "postal_code": "565013409",
            "country_code": "US",
            "telephone_number": "218-847-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "BRANIESNEY",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8304",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11705394-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANIESNEY",
            "last_name": "ORTIZ CAMACHO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waite Park, MN

Sources for this page

Verify at the official NPI Registry.