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

Q: 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.

Q: What is Denisse Broadbent's specialty?

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

Q: 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.

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: October 25, 2026.

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

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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 Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Denisse Broadbent reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Joseph's Medical Center

Same address

General Practice

13060 ISLE DRIVE
Baxter, MN 56425

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: St Josephs Medical Center
340 clinicians in this Medicare group

NPI 1174809792 (218) 828-2880

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 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)