Active NPI
Brianna Rae Palme, DNP, CNP
- Pediatric Nurse Practitioner
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 9428
- Practice address
- Children'S Health Care, 2525 Chicago Avenue South
Minneapolis, MN 55404-4518 - Phone
- (952) 992-5691
- NPI assigned
- May 12, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 2476094 | MN | |
| Pediatric Nurse Practitioner | 363LP0200X | 9428 | MN | Primary |
Addresses
Primary practice location
Children'S Health Care, 2525 Chicago Avenue South
Minneapolis, MN 55404-4518
Mailing address
Children'S Health Care, 2525 Chicago Avenue South
Minneapolis, MN 55404-4518
Other practice location 1
Children's Health Care, 345 North Smith Avenue
St. Paul, MN 55102
Phone (952) 992-5691
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, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1200 6TH Ave N
Saint Cloud, MN 56303-2735
1406 6TH Ave N
Saint Cloud, MN 56303-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9428 | MN | MD | General Practice Dentistry |
| 2476094 | MN | MD | Pediatric Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Childrens Health Care | Past | Accepting new patients |
Locations
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
345 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
Interoperability endpoints
- bpalme887084@direct.centracare.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- St Cloud, MN
- NPI 1043212665
-
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
- Primary Care Clinic/Center
- Saint Cloud, MN
- NPI 1669994315
-
- Children's Hospital
- Saint Paul, MN
- NPI 1629161781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1972249878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CHILDREN'S HEALTH CARE, 2525 CHICAGO AVENUE SOUTH",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILDREN'S HEALTH CARE, 2525 CHICAGO AVENUE SOUTH",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044518",
"telephone_number": "952-992-5691"
}
],
"practiceLocations": [
{
"address_1": "Children's Health Care, 345 North Smith Avenue",
"address_purpose": "LOCATION",
"city": "St. Paul",
"state": "MN",
"postal_code": "55102",
"country_code": "US",
"telephone_number": "952-992-5691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALME",
"first_name": "BRIANNA",
"middle_name": "RAE",
"credential": "DNP, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "MN",
"license": "2476094",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MN",
"license": "9428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.