BRIANNA LEIGH THOMALLA CNP
NPI 1417539057
Nurse Practitioner - Women's Health in Clear Lake, MN
About Brianna Leigh Thomalla Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIANNA LEIGH THOMALLA CNP (NPI 1417539057) is an individual women's health provider in Clear Lake, Minnesota, licensed in Minnesota (8026) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Brianna Leigh Thomalla 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.
Medicare Billing Reassignments
2Medicare enrollment records show Brianna Thomalla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Becker, MN 55308
- Reassigned Medicare billing, Minnesota enrollment
- 1,051 clinicians in this Medicare group
Sauk Rapids, MN 56379
- Reassigned Medicare billing, Minnesota enrollment
- 415 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 55319 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Brianna Thomalla's NPI number?
The NPI number for Brianna Thomalla is 1417539057. It was assigned to this individual provider in the NPPES registry on April 23, 2021.
Where is Brianna Thomalla located?
Brianna Thomalla practices at 4902 115th Ave, Clear Lake, MN 55319. The listed phone number is (320) 333-6109.
What is Brianna Thomalla's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Brianna Thomalla enrolled in Medicare?
Yes. Brianna Thomalla 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.
Which organizations bill Medicare for Brianna Thomalla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brianna Thomalla reassigns Medicare benefits to 2 organizations: Centracare Clinic (Becker, MN) and St. Cloud Hospital (Sauk Rapids, 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 Brianna Thomalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brianna Thomalla accept?
Health plans from HealthPartners and Sanford Health Plan list Brianna Thomalla 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.
When was this NPI record last updated?
The NPPES record for Brianna Thomalla was last updated on April 23, 2021. 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.
# Brianna Leigh Thomalla, CNP · NPI 1417539057
Women's Health physician in Clear Lake, Minnesota. Individual provider, active in the CMS NPPES registry since April 23, 2021.
## Identity
- **NPI:** 1417539057 (Entity type: Individual)
- **Enumerated:** April 23, 2021
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 8026 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4902 115TH AVE, Clear Lake, MN 55319-9793
- **Phone:** (320) 333-6109
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Centracare Clinic (NPI 1710048590, Becker, MN); St. Cloud Hospital (NPI 1427218957, Sauk Rapids, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 23, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1417539057) · Data from the CMS NPPES public registry.