MR. RICHARD JOHN MASTENBROOK CNP
NPI 1619386083
Nurse Practitioner in Chisago City, MN

Active since August 10, 2014PECOS EnrolledAccepts Medicare Assignment
11725 STINSON AVE, CHISAGO CITY, MN 55013(651) 257-8850(651) 257-8852 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Richard John Mastenbrook Cnp NPPES

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

MR. RICHARD JOHN MASTENBROOK CNP (NPI 1619386083) is an individual nurse practitioner in Chisago City, Minnesota, licensed in Minnesota (AG0714121) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1619386083
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. RICHARD JOHN MASTENBROOKCredential: CNP
Location Address11725 STINSON AVEChisago City, MN 55013-9542
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727 · (516) 232-2002 · Fax (651) 326-9635
Fax(651) 257-8852
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 10, 2014
Last NPPES UpdateAugust 11, 2022
NPPES CertifiedAugust 11, 2022
NPI 1619386083 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 · AG0714121
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.

11725 STINSON AVE, Chisago City, MN 55013

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Richard John Mastenbrook Cnp 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.

PECOS PAC ID8123340114
PECOS Enrollment IDI20141202001220
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes 99336
This is a routine visit for established patients residing in care facilities like nursing homes or assisted living. The visit typically lasts about 40 minutes, during which the healthcare provider checks your overall health, discusses any concerns, and adjusts care plans as needed.
513 services49 patients
Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
456 services87 patients
Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
247 services41 patients
Follow-up nursing facility visit per day, typically 35 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
58 services35 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
57 services51 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
32 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55013 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 5

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

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims930 services$0.10 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers13 claims690 services$0.81 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers59 claims59 services$15.01 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers11 claims11 services$5.94 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers12 claims12 services$26.03 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 17

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

Family Medicine
11725 STINSON AVE
CHISAGO CITY, MN 55013
Family Medicine
11725 STINSON AVE
CHISAGO CITY, MN 55013
Family Medicine
11725 STINSON AVE
CHISAGO CITY, MN 55013
Family Medicine
11725 STINSON AVE
CHISAGO CITY, MN 55013
Family Medicine
11725 STINSON AVE
CHISAGO CITY, MN 55013
Specialist/Technologist (Athletic Trainer)
11725 STINSON AVE
CHISAGO CITY, MN 55013
Family Medicine (Sleep Medicine)
11725 STINSON AVE
CHISAGO CITY, MN 55013
Speech-Language Pathologist
11725 STINSON AVE
CHISAGO CITY, MN 55013

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619386083, enumerated as an "individual" on August 10, 2014.

The provider is located at 11725 STINSON AVE CHISAGO CITY, MN 55013 and the phone number is (651) 257-8850.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.

Richard Mastenbrook is affiliated with: M HEALTH FAIRVIEW UNIVERSITY OF MN.