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

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: October 25, 2026.

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

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
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

Other Identifiers 1

Medicaid000000000MN

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Magdalene Broberg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group

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 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.

Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454

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 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.

Where is Magdalene Broberg located?

Magdalene Broberg practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 273-3000.

What is Magdalene Broberg's specialty?

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

Is Magdalene Broberg enrolled in Medicare?

Yes. Magdalene Broberg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Magdalene Broberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Magdalene Broberg reassigns Medicare benefits to 3 organizations: Healtheast Medical Research Institute (Saint Paul, MN), Healtheast St. John's Hospital (Saint Paul, MN) and Healtheast Woodwinds Hospital (Woodbury, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Magdalene Broberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Magdalene Broberg accept?

Health plans from Sanford Health Plan list Magdalene Broberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 7 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.