JENNA ROSE BROIHAHN
NPI 1447878186
Occupational Therapist in Maple Grove, MN
About Jenna Rose Broihahn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA ROSE BROIHAHN (NPI 1447878186) is an individual occupational therapist in Maple Grove, Minnesota, licensed in Minnesota (107637) and active in the NPI registry since July 2020. She maintains a secondary practice location in St Louis Park.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenna Rose Broihahn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jenna Broihahn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn Park, MN 55445
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Rogers, MN 55374
- Reassigned Medicare billing, Minnesota enrollment
- 8 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jenna Broihahn's NPI number?
The NPI number for Jenna Broihahn is 1447878186. It was assigned to this individual provider in the NPPES registry on July 9, 2020.
Where is Jenna Broihahn located?
Jenna Broihahn practices at 11318 86th Ave N, Maple Grove, MN 55369. The listed phone number is (651) 773-5988.
What is Jenna Broihahn's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jenna Broihahn enrolled in Medicare?
Yes. Jenna Broihahn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jenna Broihahn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Broihahn reassigns Medicare benefits to 2 organizations: Park Nicollet Clinic (Brooklyn Park, MN) and Roots And Wings Therapeutic Services LLC (Rogers, 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 Jenna Broihahn'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 Jenna Broihahn was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.