NISSA K BREKKE
NPI 1639751092
Obstetrics & Gynecology in Wyoming, MN
About Nissa K Brekke NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NISSA K BREKKE (NPI 1639751092) is an individual obstetrics & gynecology provider in Wyoming, Minnesota, licensed in Minnesota (80455) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of University Of Minnesota Medical School (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Nissa K Brekke 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fairview Lakes Health Services
Acute Care Hospitals · Wyoming, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55092 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nissa Brekke's NPI number?
The NPI number for Nissa Brekke is 1639751092. It was assigned to this individual provider in the NPPES registry on April 26, 2021.
Where is Nissa Brekke located?
Nissa Brekke practices at 5200 Fairview Blvd, Wyoming, MN 55092. The listed phone number is (651) 982-7000.
What is Nissa Brekke's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Nissa Brekke enrolled in Medicare?
Yes. Nissa Brekke 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.
Is Nissa Brekke affiliated with any hospitals?
According to CMS data, Nissa Brekke is affiliated with Fairview Lakes Health Services.
When was this NPI record last updated?
The NPPES record for Nissa Brekke was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Nissa K Brekke · NPI 1639751092
Obstetrics & Gynecology physician in Wyoming, Minnesota. Individual provider, active in the CMS NPPES registry since April 26, 2021.
## Identity
- **NPI:** 1639751092 (Entity type: Individual)
- **Enumerated:** April 26, 2021
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 80455 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5200 FAIRVIEW BLVD, Wyoming, MN 55092-8013
- **Phone:** (651) 982-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Minnesota Medical School, class of 2021
## Record status
- **NPPES last updated:** August 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639751092) · Data from the CMS NPPES public registry.