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SONJA BROCKMAN DNP, FNP-BC
NPI 1205465564
Nurse Practitioner - Family in Roseville, MN

Active since April 07, 2020PECOS Enrolled
2685 LONG LAKE RD STE 105, ROSEVILLE, MN 55113(651) 633-6522 Get Directions Write a Review

NPPES record last updated: May 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2020, Apr 7, 2020 (2 updates tracked since 2020).

About Sonja Brockman Dnp, Fnp-bc NPPES

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

SONJA BROCKMAN DNP, FNP-BC (NPI 1205465564) is an individual family provider in Roseville, Minnesota, licensed in Minnesota (6259) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205465564
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSONJA BROCKMANCredential: DNP, FNP-BC
Location Address2685 LONG LAKE RD STE 105Roseville, MN 55113-1117
Mailing Address2685 Long Lake Rd Unit 105Roseville, MN 55113-1117
Phone(651) 633-6522
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 7, 2020
Last NPPES UpdateMay 16, 20202 updates tracked since enumeration
NPPES CertifiedMay 16, 2020
✔ NPI 1205465564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 6259
2685 LONG LAKE RD STE 105, Roseville, MN 55113
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sonja Brockman Dnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456878826
PECOS Enrollment IDI20250508002203
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 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 Sonja Brockman's NPI number?

The NPI number for Sonja Brockman is 1205465564. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Sonja Brockman located?

Sonja Brockman practices at 2685 Long Lake Rd Ste 105, Roseville, MN 55113. The listed phone number is (651) 633-6522.

What is Sonja Brockman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sonja Brockman enrolled in Medicare?

Yes. Sonja Brockman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sonja Brockman was last updated on May 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.