ELLISE CAROLINE BRAVEHEART RN, CNP, FNP-C
NPI 1275930026
Nurse Practitioner - Family in Cloquet, MN

Active since November 21, 2014PECOS Enrolled
927 TRETTEL LN, CLOQUET, MN 55720(218) 879-1227 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2023, Nov 2, 2022 (2 updates tracked since 2022).

About Ellise Caroline Braveheart Rn, Cnp, Fnp-c NPPES

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

ELLISE CAROLINE BRAVEHEART RN, CNP, FNP-C (NPI 1275930026) is an individual family provider in Cloquet, Minnesota, licensed in Minnesota (9590) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1275930026
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLISE CAROLINE BRAVEHEARTCredential: RN, CNP, FNP-C
Location Address927 TRETTEL LNCloquet, MN 55720-1345
Mailing Address907 Slate StCloquet, MN 55720-1252 · (218) 269-4974
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 21, 2014
Last NPPES UpdateJanuary 3, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
NPI 1275930026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 9590
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License R221785-9 (MN)
927 TRETTEL LN, Cloquet, MN 55720

Other Names 1

Former Name (1)Ellise Chinn

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ellise Caroline Braveheart Rn, Cnp, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729459581
PECOS Enrollment IDI20230115000011
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 2

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55720 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.

Family Medicine
927 TRETTEL LN
CLOQUET, MN 55720
Marriage & Family Therapist
927 TRETTEL LN
CLOQUET, MN 55720
Counselor (Professional)
927 TRETTEL LN
CLOQUET, MN 55720
Social Worker (Clinical)
927 TRETTEL LN
CLOQUET, MN 55720
Nurse Practitioner (Family)
927 TRETTEL LN
CLOQUET, MN 55720
Clinic/Center (Mental Health (Including Community Mental Health Center))
927 TRETTEL LN
CLOQUET, MN 55720
Dietitian, Registered
927 TRETTEL LN
CLOQUET, MN 55720
Dentist
927 TRETTEL LN
CLOQUET, MN 55720

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 Ellise Braveheart's NPI number?

The NPI number for Ellise Braveheart is 1275930026. It was assigned to this individual provider in the NPPES registry on November 21, 2014. The provider is also known as Ellise Chinn.

Where is Ellise Braveheart located?

Ellise Braveheart practices at 927 Trettel Ln, Cloquet, MN 55720. The listed phone number is (218) 879-1227.

What is Ellise Braveheart's specialty?

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

Is Ellise Braveheart enrolled in Medicare?

Yes. Ellise Braveheart is registered in the Medicare PECOS enrollment system.

What insurance does Ellise Braveheart accept?

Health plans from Medica list Ellise Braveheart 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 Ellise Braveheart affiliated with any hospitals?

According to CMS data, Ellise Braveheart is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Ellise Braveheart was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.