MRS. MAGDALENE BROBERG APRN-NNP- BC
NPI 1790296606
Nurse Practitioner - Neonatal in Minneapolis, MN

Q: What is Magdalene Broberg's NPI number?

The NPI number for Magdalene Broberg is 1790296606. It was assigned to this individual provider in the NPPES registry on October 18, 2017.

Q: What is Magdalene Broberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Magdalene Broberg was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 18, 2017PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 273-3000 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2019, Aug 15, 2019, Oct 18, 2017 (3 updates tracked since 2017).

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About Mrs. Magdalene Broberg Aprn-nnp- Bc NPPES

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

MRS. MAGDALENE BROBERG APRN-NNP- BC (NPI 1790296606) is an individual neonatal provider in Minneapolis, Minnesota, licensed in Minnesota (5558) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790296606

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameMRS. MAGDALENE BROBERGCredential: APRN-NNP- BC

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address20 Bristol CtHudson, WI 54016-7773

Phone(612) 273-3000

Sole ProprietorNo

Enumeration DateOctober 18, 2017

Last NPPES UpdateSeptember 10, 20193 updates tracked since enumeration

✔ NPI 1790296606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LN0000X

License✔ Licensed in MN · 5558

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Other Identifiers 1

Medicaid000000000MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Magdalene Broberg Aprn-nnp- Bc 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 55454 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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner