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DR. BROOKE ALEXANDRA KUTZ MD
NPI 1033606157
General Practice in Saint Paul, MN

Active since April 14, 2018PECOS Enrolled
1414 MARYLAND AVE E, SAINT PAUL, MN 55106(651) 772-3461 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 3, 2022, Dec 9, 2019, Jun 4, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Brooke Alexandra Kutz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BROOKE ALEXANDRA KUTZ MD (NPI 1033606157) is an individual general practice provider in Saint Paul, Minnesota, licensed in Minnesota (68573) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1033606157
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. BROOKE ALEXANDRA KUTZCredential: MD
Location Address1414 MARYLAND AVE ESaint Paul, MN 55106-2824
Mailing Address10689 Sonoma RdgEden Prairie, MN 55347-1169
Phone(651) 772-3461
Sole ProprietorYes
Enumeration DateApril 14, 2018
Last NPPES UpdateAugust 3, 20224 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
✔ NPI 1033606157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MN · 68573
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1414 MARYLAND AVE E, Saint Paul, MN 55106
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Other Names 1

Former Name (1)Dr. Brooke Alexandra Jensen Md

Secondary Practice Location 1

Location 1420 Delaware St SEMinneapolis, MN 55455-0341 · Phone (612) 625-6483

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brooke Alexandra Kutz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brooke Kutz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
856 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Minnesota enrollment
  • 166 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASILA AHMED OSMAN MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
CAITLYN BANGERT MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
ABIGAIL ANN PSYCK MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
LINDA MOUA MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
DR. SAMUEL OLSON MD
Family Medicine
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
KRISTOFER SETTERSTROM
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
ANGELA JW SMITHSON MD
Family Medicine
1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINIC
ST. PAUL, MN 55106
Ramsey County (651) 772-3461
JOHN HALVORSEN MD
Family Medicine
1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINIC
ST. PAUL, MN 55106
Ramsey County (651) 772-3461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Kutz's NPI number?

The NPI number for Brooke Kutz is 1033606157. It was assigned to this individual provider in the NPPES registry on April 14, 2018. The provider is also known as Dr. Brooke Alexandra Jensen MD.

Where is Brooke Kutz located?

Brooke Kutz practices at 1414 Maryland Ave E, Saint Paul, MN 55106. The listed phone number is (651) 772-3461.

What is Brooke Kutz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Brooke Kutz enrolled in Medicare?

Yes. Brooke Kutz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brooke Kutz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Kutz reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brooke Kutz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brooke Kutz was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.