MS. SUE MASIELLO BROCK APRN
NPI 1750600854
Nurse Practitioner - Family in Minnetonka, MN

Q: What is Sue Brock's NPI number?

The NPI number for Sue Brock is 1750600854. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Q: What is Sue Brock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sue Brock was last updated on September 22, 2020. 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 May 28, 2010PECOS Enrolled

9900 BREN RD E, MINNETONKA, MN 55343(866) 686-2504 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2020, Sep 15, 2020 (2 updates tracked since 2020).

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About Ms. Sue Masiello Brock Aprn NPPES

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

MS. SUE MASIELLO BROCK APRN (NPI 1750600854) is an individual family provider in Minnetonka, Minnesota, licensed in Florida (ARNP 915972) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750600854

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. SUE MASIELLO BROCKCredential: APRN

Location Address9900 BREN RD EMinnetonka, MN 55343-9664

Mailing Address17920 Gulf Blvd Apt 101Redington Shores, FL 33708-1194 · (813) 546-5196

Phone(866) 686-2504

Sole ProprietorYes

Enumeration DateMay 28, 2010

Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2020

✔ NPI 1750600854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP 915972

9900 BREN RD E, Minnetonka, MN 55343

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Sue Masiello Brock Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55343 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.

MAVIS OSEI YEBOAH NURSE PRACTITIONER

Nurse Practitioner