Individual provider Active NPI

Brittany Jo Bullis-Billingsley, CNP

  • Adult Health Nurse Practitioner
  • Coon Rapids, MN
National Provider Identifier
1962102400
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9992 Issued in MN
Practice address
11850 Blackfoot St NW
Coon Rapids, MN 55433-2578
Phone
(763) 427-1137
Fax
(763) 427-4643
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 9992 MN
Adult Health Nurse Practitioner 363LA2200X 9992 MN Primary

Addresses

Primary practice location

11850 Blackfoot St NW
Coon Rapids, MN 55433-2578

Mailing address

11850 Blackfoot St NW Ste 490
Coon Rapids, MN 55433-2773
Phone (612) 871-7278

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230421001741 MN Practitioner - Nurse Practitioner 3173988375 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-4762

913 E 26TH St
Minneapolis, MN 55404-4515
Phone (612) 871-7278

Hospital & facility affiliations

  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057
  • Mercy Hospital Hospital, Coon Rapids, MN, CCN 240115
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
  • Ridgeview Medical Center Hospital, Waconia, MN, CCN 240056

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Merit-based Incentive Payment System (MIPS)

Final score
69.1 of 100Reported as group
Quality
39.3
Improvement activities
40
Cost
68.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Neurosurgical Trauma Associates, PLLC Acute Care CurrentSince Jun 1, 2023 Accepting new patients
Allina Health System CurrentSince Nov 25, 2024 Accepting new patients
Allina Health System CurrentSince Nov 25, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Nov 25, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Metropolitan Neurosurgery, PA Acute Care CurrentSince Jun 1, 2023 Accepting new patients
Allina Health System Past Accepting new patients
Allina Health System PastSince Mar 5, 2023 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

913 E 26th St
Ste 304
Minneapolis, MN 55404
Phone (612) 863-3200

11850 Blackfoot St NW
Ste 490
Minneapolis, MN 55433
Phone (612) 871-7278

913 E 26th St
Ste 305
Minneapolis, MN 55404
Phone (612) 871-7278

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2855 Campus Dr
Ste 610
Plymouth, MN 55441
Phone (612) 333-4822

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11793/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brittany.bullis-billingsley.1@11793.direct.athenahealth.com
  • Direct secure messaging: bbullisbillingsley182841@excellian.direct.allina.com

Organizations & group practices 9

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.

Hospital & facility affiliations 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1962102400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 BLACKFOOT ST NW STE 490",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332773",
            "telephone_number": "612-871-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 BLACKFOOT ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332578",
            "telephone_number": "763-427-1137",
            "fax_number": "763-427-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLIS-BILLINGSLEY",
        "first_name": "BRITTANY",
        "middle_name": "JO",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MN",
            "license": "9992",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "9992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

Verify at the official NPI Registry.