BRYNN LARA CHARLESWORTH M.D.
NPI 1124751912
Family Medicine in Crookston, MN
About Brynn Lara Charlesworth M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRYNN LARA CHARLESWORTH M.D. (NPI 1124751912) is an individual family medicine provider in Crookston, Minnesota, licensed in Minnesota (77694) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Sanford Thief River Falls Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Brynn Lara Charlesworth M.d. 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 Brynn Charlesworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Crookston, MN 56716
- Reassigned Medicare billing, Minnesota and North Dakota enrollments
- Also billed through NPI 1154346161 (North Dakota)
- 193 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Thief River Falls Medical Center
Critical Access Hospitals · Thief River Falls, MNAltru Hospital
Acute Care Hospitals · Grand Forks, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Brynn Charlesworth's NPI number?
The NPI number for Brynn Charlesworth is 1124751912. It was assigned to this individual provider in the NPPES registry on July 8, 2022.
Where is Brynn Charlesworth located?
Brynn Charlesworth practices at 400 S. Minnesota St, Crookston, MN 56716. The listed phone number is (218) 281-9100.
What is Brynn Charlesworth's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brynn Charlesworth enrolled in Medicare?
Yes. Brynn Charlesworth 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 Brynn Charlesworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brynn Charlesworth reassigns Medicare benefits to Altru Health System (Crookston, 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 Brynn Charlesworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brynn Charlesworth accept?
Health plans from Blue Cross Blue Shield of North Dakota list Brynn Charlesworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Brynn Charlesworth affiliated with any hospitals?
According to CMS data, Brynn Charlesworth is affiliated with Sanford Thief River Falls Medical Center and Altru Hospital.
When was this NPI record last updated?
The NPPES record for Brynn Charlesworth was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Brynn Lara Charlesworth, M.D. · NPI 1124751912
Family Medicine physician in Crookston, Minnesota. Individual provider, active in the CMS NPPES registry since July 8, 2022.
## Identity
- **NPI:** 1124751912 (Entity type: Individual)
- **Enumerated:** July 8, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 77694 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 S. MINNESOTA ST, Crookston, MN 56716
- **Phone:** (218) 281-9100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Altru Health System (NPI 1760494330, Crookston, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124751912) · Data from the CMS NPPES public registry.