BREANNE NICOLE STENSETH CNP
NPI 1508462813
Nurse Practitioner in Minneapolis, MN

Q: What is Breanne Stenseth's NPI number?

The NPI number for Breanne Stenseth is 1508462813. It was assigned to this individual provider in the NPPES registry on December 10, 2020. The provider is also known as Breanne Nicole Fackler.

Q: What is Breanne Stenseth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Breanne Stenseth was last updated on January 5, 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.

Active since December 10, 2020PECOS Enrolled

7801 E BUSH LAKE RD STE 400, MINNEAPOLIS, MN 55439(612) 209-9622 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2021, Dec 10, 2020 (2 updates tracked since 2020).

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About Breanne Nicole Stenseth Cnp NPPES

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

BREANNE NICOLE STENSETH CNP (NPI 1508462813) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Minnesota (7379) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508462813

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameBREANNE NICOLE STENSETHCredential: CNP

Location Address7801 E BUSH LAKE RD STE 400Minneapolis, MN 55439-3113

Mailing Address7801 E Bush Lake Rd, Ste 400Minneapolis, MN 55439-3113 · (952) 479-4261 · Fax (866) 691-8423

Phone(612) 209-9622

Sole ProprietorNo

Enumeration DateDecember 10, 2020

Last NPPES UpdateJanuary 5, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2021

✔ NPI 1508462813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · 7379

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

7801 E BUSH LAKE RD STE 400, Minneapolis, MN 55439

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Other Names 1

Former Name (1)Breanne Nicole Fackler

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanne Nicole Stenseth Cnp 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 Breanne Stenseth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ltc Professionals, PLLC

Same address

Internal Medicine

7801 EAST BUSH LAKE RD, SUITE 400
Bloomington, MN 55439

Reassigned Medicare billing, Minnesota enrollment
19 clinicians in this Medicare group

NPI 1417251935 (952) 479-4261

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 55439 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Iv pole E0776

DME-Other DME · category DE000N

1 supplier12 claims12 services$13.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH BACHORIK NP

Nurse Practitioner