MRS. CAROLYN SUE OELTJENBRUNS CNP
NPI 1215992771
Nurse Practitioner in Minneapolis, MN

Q: What is Carolyn Oeltjenbruns's NPI number?

The NPI number for Carolyn Oeltjenbruns is 1215992771. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Carolyn Oeltjenbruns's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment

410 CHURCH ST SE, MINNEAPOLIS, MN 55455(612) 625-8400(612) 677-3211 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mrs. Carolyn Sue Oeltjenbruns Cnp NPPES

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

MRS. CAROLYN SUE OELTJENBRUNS CNP (NPI 1215992771) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Minnesota (270) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1215992771

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. CAROLYN SUE OELTJENBRUNSCredential: CNP

Location Address410 CHURCH ST SEMinneapolis, MN 55455-0222

Mailing Address410 Church St SeMinneapolis, MN 55455-0222 · (612) 625-8400 · Fax (612) 677-3211

Phone(612) 625-8400

Fax(612) 677-3211

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateApril 19, 2006

Last NPPES UpdateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1215992771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · 270

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

410 CHURCH ST SE, Minneapolis, MN 55455

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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

Mrs. Carolyn Sue Oeltjenbruns Cnp 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 ID9830089762

PECOS Enrollment IDI20040316000916

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.

Medicare Billing Reassignments

Medicare enrollment records show Carolyn Oeltjenbruns reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Clinics

0.4 mi

Clinic/Center

606 24TH AVE S, STE 602
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
2,302 clinicians in this Medicare group

NPI 1043516867 (612) 273-6099

Fairview Health Services

0.4 mi

General Acute Care Hospital

2450 RIVERSIDE AVE
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1013994359 (612) 672-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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.

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.

MS. STEPHANIE GRADY PA & NP

Family Medicine