Active NPI
Braniesney Guevara, DNP, APRN, FNP-BC
- Family Nurse Practitioner
- Waite Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8304
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11705394-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Health System - Sauk Centre | Current | Accepting new patients | |
| Mille Lacs Health System | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current | Accepting new patients | |
| Molina Healthcare of Utah Inc | Family | Current | Accepting new patients |
| Rejuv Medical, P.a. | Family | Current | 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 | Current | Accepting new patients | |
| Centracare Health System - Sauk Centre | Current | Accepting new patients | |
| Centracare Health System - Long Prairie | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current | Accepting new patients | |
| St. Mary's Regional Health Center | Current | Accepting new patients | |
| Centracare Health System - Melrose | Current | Accepting new patients | |
| Mille Lacs Health System | Current | Accepting new patients | |
| Mille Lacs Health System | Current | Accepting new patients | |
| St Mary's Regional Health Center | Current | Accepting new patients | |
| Centracare Health System - Sauk Centre | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current | Accepting new patients | |
| Glencoe Regional Health Services | Current | 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
- bguevara763215@direct.centracare.com
- https://api.platform.athenahealth.com/32275/brand/1/csg/1/fhir/r4
- 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.
-
dba Essentia Health St. Mary's- Detroit Lakes
- Rural Acute Care Hospital
- Detroit Lakes, MN
- NPI 1679561088
-
- Critical Access Hospital
- Long Prairie, MN
- NPI 1164471678
-
dba CentraCare Health - Melrose Hospital
- Critical Access Hospital
- Melrose, MN
- NPI 1720045073
-
dba CentraCare Health - Sauk Centre Clinic
- Rural Health Clinic/Center
- Sauk Centre, MN
- NPI 1578813762
-
- Critical Access Hospital
- Sauk Centre, MN
- NPI 1740553932
-
dba CentraCare Health - Paynesville Hospital
- Critical Access Hospital
- Paynesville, MN
- NPI 1205269941
-
dba CentraCare Health - Paynesville Clinic
- Rural Health Clinic/Center
- Paynesville, MN
- NPI 1629402516
-
- Critical Access Hospital
- Glencoe, MN
- NPI 1508885633
-
dba Critical Access Hospital
- Critical Access Hospital
- Onamia, MN
- NPI 1548212699
-
- Family Nurse Practitioner
- Midvale, UT
- NPI 1619486396
-
- Medicare Defined Swing Bed Hospital Unit
- Sauk Centre, MN
- NPI 1487928743
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Long Prairie, MN
- NPI 1164471678
-
- Critical Access Hospital
- Glencoe, MN
- NPI 1508885633
-
dba Essentia Health St. Mary's-Frazee Clinic
- Rural Health Clinic/Center
- Frazee, MN
- NPI 1902364482
Hospital
-
dba Essentia Health Park Rapids Hwy 34 Clinic
- Rural Health Clinic/Center
- Park Rapids, MN
- NPI 1730706656
Hospital
-
dba Essentia Health St. Mary's- Detroit Lakes
- Rural Acute Care Hospital
- Detroit Lakes, MN
- NPI 1679561088
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.