BRETT SHAROCKMAN
NPI 1104414515
Counselor - Professional in Eden Prairie, MN
About Brett Sharockman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRETT SHAROCKMAN (NPI 1104414515) is an individual professional provider in Eden Prairie, Minnesota, licensed in Minnesota (4208) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Edina, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brett Sharockman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Brett Sharockman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eden Prairie, MN 55347
- Reassigned Medicare billing, Minnesota enrollment
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.
EDEN PRAIRIE, MN 55344
EDEN PRAIRIE, MN 55344
EDEN PRAIRIE, MN 55344
EDEN PRAIRIE, MN 55344
EDEN PRAIRIE, MN 55344
EDEN PRAIRIE, MN 55344
EDEN PRAIRIE, MN 55344
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 Brett Sharockman's NPI number?
The NPI number for Brett Sharockman is 1104414515. It was assigned to this individual provider in the NPPES registry on January 3, 2021.
Where is Brett Sharockman located?
Brett Sharockman practices at 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344. The listed phone number is (952) 746-2522.
What is Brett Sharockman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Brett Sharockman enrolled in Medicare?
Yes. Brett Sharockman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Brett Sharockman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brett Sharockman reassigns Medicare benefits to Sharockman Counseling (Eden Prairie, MN). 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 Brett Sharockman'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 Brett Sharockman was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Brett Sharockman · NPI 1104414515
Professional provider in Eden Prairie, Minnesota. Individual provider, active in the CMS NPPES registry since January 3, 2021.
## Identity
- **NPI:** 1104414515 (Entity type: Individual)
- **Enumerated:** January 3, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 4208 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 11010 PRAIRIE LAKES DR STE 350, Eden Prairie, MN 55344-3801
- **Phone:** (952) 746-2522
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sharockman Counseling (NPI 1972475077, Eden Prairie, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104414515) · Data from the CMS NPPES public registry.