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

Q: 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.

Q: What is Brooke Kutz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brooke Kutz was last updated on August 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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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