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BRETT W NYHOLM M.D.
NPI 1255305355
Internal Medicine - Nephrology in Brooklyn Center, MN

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
6200 SHINGLE CREEK PKWY, SUITE 250, BROOKLYN CENTER, MN 55430(763) 544-0696 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brett W Nyholm M.d. NPPES

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

BRETT W NYHOLM M.D. (NPI 1255305355) is an individual nephrology provider in Brooklyn Center, Minnesota, licensed in Minnesota (44788) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of University Of Minnesota Medical School (2001).

NPPES Registry Identity

NPI1255305355
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameBRETT W NYHOLMCredential: M.D.
Location Address6200 SHINGLE CREEK PKWY, SUITE 250Brooklyn Center, MN 55430-2128
Mailing Address6200 Shingle Creek Pkwy, Suite 260Brooklyn Center, MN 55430-2128 · (763) 561-5349
Phone(763) 544-0696
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2001
Enumeration DateFebruary 15, 2006
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1255305355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MN · 44788
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
6200 SHINGLE CREEK PKWY, Brooklyn Center, MN 55430
Open in Google Maps ↗

Other Identifiers 8

Medicaid34779200WI
OtherHP62024MN · Healthpartners
Other020MN · America's Ppo
Other3100381MN · Medica
Other960931050396MN · Preferred One
Medicaid809652000MN
Other143225C028MN · U-care
Other123D3NYMN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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

Brett W Nyholm 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 ID6103890256
PECOS Enrollment IDI20040824000684
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
299 services147 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
197 services117 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
179 services25 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
116 services66 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
61 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services36 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Maple Grove Hospital

Acute Care Hospitals · Maple Grove, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240214
Location9875 Hospital DriveMaple Grove, MN 55369 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55430 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

NORMAN MARTIN LUNDE M.D.
Internal Medicine (Nephrology)
6200 SHINGLE CREEK PKWY, SUITE 300
BROOKLYN CENTER, MN 55430
Hennepin County (763) 561-5349
MICHAEL GRANT SOMERMEYER M.D.
Internal Medicine (Nephrology)
6200 SHINGLE CREEK PKWY, SUITE 250
BROOKLYN CENTER, MN 55430
Hennepin County (763) 544-0696
KATHERINE M CARLSON RD
Dietitian, Registered (Nutrition, Renal)
6200 SHINGLE CREEK PKWY, STE 300
BROOKLYN CENTER, MN 55430
Hennepin County (763) 746-9010
BRADLEY EUGENE NELSON CNP
Nurse Practitioner
6200 SHINGLE CREEK PKWY, STE 250
BROOKLYN CENTER, MN 55430
Hennepin County (763) 544-0696
MICHELLE BUSCH I A.N.P.
Nurse Practitioner
6200 SHINGLE CREEK PKWY, SUITE 260
BROOKLYN CENTER, MN 55430
Hennepin County (763) 561-5349
DR. MARC WEBER MD
Internal Medicine (Nephrology)
6200 SHINGLE CREEK PKWY, SUITE 260
BROOKLYN CENTER, MN 55430
Hennepin County (763) 561-5349
ORVIN PATRICK OCHOA VISAYA M.D.
Internal Medicine (Nephrology)
6200 SHINGLE CREEK PKWY, SUITE 250
BROOKLYN CENTER, MN 55430
Hennepin County (763) 544-0696
JEFFREY BROWN, MA, LP
Psychologist
6200 SHINGLE CREEK PKWY, SUITE460-2
BROOKLYN CENTER, MN 55430
Hennepin County (763) 566-0922

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 Nyholm's NPI number?

The NPI number for Brett Nyholm is 1255305355. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Brett Nyholm located?

Brett Nyholm practices at 6200 Shingle Creek Pkwy Suite 250, Brooklyn Center, MN 55430. The listed phone number is (763) 544-0696.

What is Brett Nyholm's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Brett Nyholm enrolled in Medicare?

Yes. Brett Nyholm 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.

What insurance does Brett Nyholm accept?

Health plans from HealthPartners and Medica list Brett Nyholm 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 Brett Nyholm affiliated with any hospitals?

According to CMS data, Brett Nyholm is affiliated with North Memorial Health Hospital, Ridgeview Medical Center, Abbott Northwestern Hospital, Mercy Hospital and Maple Grove Hospital.

When was this NPI record last updated?

The NPPES record for Brett Nyholm was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.