MCKENZIE BRACE
NPI 1508416579
Nurse Practitioner in Minneapolis, MN
About Mckenzie Brace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENZIE BRACE (NPI 1508416579) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Minnesota (8342) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of University Of Minnesota Medical School (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Mckenzie Brace 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 Mckenzie Brace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 50 clinicians in this Medicare group
Columbia, MD 21045
- Reassigned Medicare billing, Minnesota enrollment
- 22 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNEssentia Health Virginia
Acute Care Hospitals · Virginia, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST LOUIS PARK, MN 55416
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 Mckenzie Brace's NPI number?
The NPI number for Mckenzie Brace is 1508416579. It was assigned to this individual provider in the NPPES registry on September 12, 2019.
Where is Mckenzie Brace located?
Mckenzie Brace practices at 2820 Inglewood Ave S, Minneapolis, MN 55416. The listed phone number is (914) 589-5503.
What is Mckenzie Brace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mckenzie Brace enrolled in Medicare?
Yes. Mckenzie Brace 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 Mckenzie Brace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Brace reassigns Medicare benefits to 2 organizations: Aeris Medical Group PLLC (St Louis Park, MN) and Provider Partners Care Management LP (Columbia, MD). 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 Mckenzie Brace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mckenzie Brace affiliated with any hospitals?
According to CMS data, Mckenzie Brace is affiliated with Park Nicollet Methodist Hospital, M Health Fairview University Of Mn and Essentia Health Virginia.
When was this NPI record last updated?
The NPPES record for Mckenzie Brace was last updated on August 3, 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.
# Mckenzie Brace · NPI 1508416579
Nurse Practitioner physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since September 12, 2019.
## Identity
- **NPI:** 1508416579 (Entity type: Individual)
- **Enumerated:** September 12, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 8342 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2820 INGLEWOOD AVE S, Minneapolis, MN 55416-4112
- **Phone:** (914) 589-5503 · **Fax:** (763) 465-0588
## 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): Aeris Medical Group PLLC (NPI 1184228520, St Louis Park, MN); Provider Partners Care Management LP (NPI 1013348028, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2021
## Record status
- **NPPES last updated:** August 3, 2021
- **Other identifiers:** Other 2375351 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1508416579) · Data from the CMS NPPES public registry.