REBECCA PROSEN
NPI 1295971422
Nurse Practitioner - Neonatal, Critical Care in Maple Grove, MN

Active since December 17, 2008PECOS Enrolled
9325 UPLAND LN N STE 360, MAPLE GROVE, MN 55369(612) 322-6905 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2023, Jun 12, 2018 (2 updates tracked since 2018).

About Rebecca Prosen NPPES

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

REBECCA PROSEN (NPI 1295971422) is an individual neonatal, critical care provider in Maple Grove, Minnesota, licensed in Minnesota (9971) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295971422
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameREBECCA PROSEN
Location Address9325 UPLAND LN N STE 360Maple Grove, MN 55369-4463
Mailing Address15560 76th Ct NeOtsego, MN 55330-3005 · (773) 306-6840
Sole ProprietorNo
Enumeration DateDecember 17, 2008
Last NPPES UpdateJanuary 23, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1295971422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
Licenses✔ Licensed in MN · 9971✔ Licensed in CO · 5873
9325 UPLAND LN N STE 360, Maple Grove, MN 55369

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Prosen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Rebecca Prosen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Oncology
14500 99TH AVE N, STE LL200
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Family Medicine
2680 SNELLING AVE N, SUITE 200
Roseville, MN 55113
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group

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 55369 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Neonatal)
9325 UPLAND LN N STE 360
MAPLE GROVE, MN 55369
Pediatrics (Neonatal-Perinatal Medicine)
9325 UPLAND LN N STE 360
MAPLE GROVE, MN 55369

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 Rebecca Prosen's NPI number?

The NPI number for Rebecca Prosen is 1295971422. It was assigned to this individual provider in the NPPES registry on December 17, 2008.

Where is Rebecca Prosen located?

Rebecca Prosen practices at 9325 Upland Ln N Ste 360, Maple Grove, MN 55369. The listed phone number is (612) 322-6905.

What is Rebecca Prosen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Rebecca Prosen enrolled in Medicare?

Yes. Rebecca Prosen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rebecca Prosen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Prosen reassigns Medicare benefits to 4 organizations: Fairview Express Care (Maple Grove, MN), Healtheast Medical Research Institute (Roseville, MN), Healtheast St. John's Hospital (Saint Paul, MN) and Healtheast Woodwinds Hospital (Woodbury, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebecca Prosen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rebecca Prosen was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.