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DENISSE GUILLEN BROADBENT M.D.
NPI 1508399130
Pediatrics in Baxter, MN

Active since April 10, 2017PECOS Enrolled
13060 ISLE DR, BAXTER, MN 56425(218) 828-2880(218) 454-5916 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2020, Apr 10, 2017 (2 updates tracked since 2017).

About Denisse Guillen Broadbent M.d. NPPES

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

DENISSE GUILLEN BROADBENT M.D. (NPI 1508399130) is an individual pediatrics provider in Baxter, Minnesota, licensed in Minnesota (66589) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508399130
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDENISSE GUILLEN BROADBENTCredential: M.D.
Location Address13060 ISLE DRBaxter, MN 56425-8331
Mailing Address1702 University Dr SFargo, ND 58103-4940
Phone(218) 828-2880
Fax(218) 454-5916
Sole ProprietorNo
Enumeration DateApril 10, 2017
Last NPPES UpdateJune 12, 20202 updates tracked since enumeration
NPPES CertifiedJune 12, 2020
✔ NPI 1508399130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 66589
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
13060 ISLE DR, Baxter, MN 56425
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Denisse Guillen Broadbent M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56425 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.

SHANNON N SIEKAS
Nurse Practitioner (Family)
13060 ISLE DR
BAXTER, MN 56425
Crow Wing County (218) 828-2880
KAREN K OPP NP
Nurse Practitioner (Pediatrics)
13060 ISLE DR
BAXTER, MN 56425
Crow Wing County (218) 828-2880
NICHOLAS JOSEPH FENSKE PA-C
Physician Assistant
13060 ISLE DR
BAXTER, MN 56425
Crow Wing County (218) 828-2880
MRS. SHANNON CHRISTIAN SHAW FNP
Nurse Practitioner (Family)
13060 ISLE DR
BAXTER, MN 56425
Crow Wing County (512) 981-8445
NICHOLAS M LOKEN DO
Family Medicine
13060 ISLE DR
BAXTER, MN 56425
Crow Wing County (188) 282-2880
TRISHA MARIE RAU CNP
Nurse Practitioner (Family)
13060 ISLE DR
BAXTER, MN 56425
Crow Wing County (218) 828-2880
RHODA M REES APRN, CNP
Nurse Practitioner (Family)
13060 ISLE DR
BAXTER, MN 56425
Crow Wing County (218) 828-2880
MARY L KREGER NP
Nurse Practitioner (Family)
13060 ISLE DR
BAXTER, MN 56425
Crow Wing County (218) 828-2880

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 Denisse Broadbent's NPI number?

The NPI number for Denisse Broadbent is 1508399130. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Denisse Broadbent located?

Denisse Broadbent practices at 13060 Isle Dr, Baxter, MN 56425. The listed phone number is (218) 828-2880.

What is Denisse Broadbent's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Denisse Broadbent enrolled in Medicare?

Yes. Denisse Broadbent is registered in the Medicare PECOS enrollment system.

What insurance does Denisse Broadbent accept?

Health plans from Medica and Sanford Health Plan list Denisse Broadbent 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 Denisse Broadbent was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.