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BRIANNA LEIGH THOMALLA CNP
NPI 1417539057
Nurse Practitioner - Women's Health in Clear Lake, MN

Active since April 23, 2021PECOS EnrolledAccepts Medicare Assignment
4902 115TH AVE, CLEAR LAKE, MN 55319(320) 333-6109 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1417539057
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameBRIANNA LEIGH THOMALLACredential: CNP
Location Address4902 115TH AVEClear Lake, MN 55319-9793
Mailing Address4902 115th AveClear Lake, MN 55319-9793 · (132) 033-3610
Phone(320) 333-6109
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 23, 2021
NPPES CertifiedApril 23, 2021
✔ NPI 1417539057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in MN · 8026
4902 115TH AVE, Clear Lake, MN 55319
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Accepted Insurance

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

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.

PECOS PAC ID6002211265
PECOS Enrollment IDI20210826000009
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.

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.

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.

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.

What insurance does Brianna Thomalla accept?

Health plans from HealthPartners, Medica 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 with the weekly NPPES data releases published by CMS.