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

Q: 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.

Q: What is Ellise Braveheart's specialty?

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

Q: 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.

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: October 18, 2026.

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

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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

Phone(218) 879-1227

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

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Other Names 1

Former Name (1)Ellise Chinn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ellise Braveheart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fond Du Lac Reservation Business Committee

Same address

Mental Health (Including Community Mental Health Center)

927 TRETTEL LN
Cloquet, MN 55720

Reassigned Medicare billing, Minnesota enrollment
68 clinicians in this Medicare group

NPI 1053772087 (218) 879-1227

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

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.

MR. ARNE VAINIO MD

Family Medicine