BRYNN LARA CHARLESWORTH M.D.
NPI 1124751912
Family Medicine in Crookston, MN

Active since July 08, 2022PECOS EnrolledAccepts Medicare Assignment
400 S. MINNESOTA ST, CROOKSTON, MN 56716(218) 281-9100 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Sep 27, 2022, Sep 16, 2022 and 1 more (4 updates tracked since 2022).

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

NPI1124751912
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBRYNN LARA CHARLESWORTHCredential: M.D.
Location Address400 S. MINNESOTA STCrookston, MN 56716
Mailing AddressPo Box 13780Grand Forks, ND 58208 · (701) 780-1891
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 8, 2022
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1124751912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MN · 77694 Licensed in ND · 18744
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 S. MINNESOTA ST, Crookston, MN 56716

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1759764889
PECOS Enrollment IDI20250901000138
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.

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, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241381
Location3001 Sanford ParkwayThief River Falls, MN 56701 · Pennington County
Emergency services

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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 10 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.