BRONWYN LISSA KNAEBE RD
NPI 1821594656
Dietitian, Registered - Nutrition, Metabolic in Eagan, MN

Active since April 02, 2018Accepts Medicare Assignment
1185 TOWN CENTRE DR STE 220, EAGAN, MN 55123(651) 379-1600 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bronwyn Lissa Knaebe Rd NPPES

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

BRONWYN LISSA KNAEBE RD (NPI 1821594656) is an individual nutrition, metabolic provider in Eagan, Minnesota, licensed in Minnesota (3968) and active in the NPI registry since April 2018. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1821594656
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameBRONWYN LISSA KNAEBECredential: RD
Location Address1185 TOWN CENTRE DR STE 220Eagan, MN 55123-1186
Mailing Address1185 Town Centre Dr Ste 220Eagan, MN 55123-1186 · (651) 379-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 2, 2018
✔ NPI 1821594656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License✔ Licensed in MN · 3968
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
1185 TOWN CENTRE DR STE 220, Eagan, MN 55123

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bronwyn Lissa Knaebe Rd 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 ID8628332699
PECOS Enrollment IDI20180430001386

Medicare Billing Reassignment

Medicare enrollment records show Bronwyn Knaebe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endocrinology, Diabetes & Metabolism
1185 TOWN CENTRE DR, SUITE 220
Eagan, MN 55123
  • Reassigned Medicare billing, Minnesota enrollment
  • 4 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.

Areas of Expertise CMS Part B claims

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

Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
20 services15 patients

Other Providers at the Same Location NPPES 2

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

Family Medicine
1185 TOWN CENTRE DR STE 220
EAGAN, MN 55123
Registered Nurse (Diabetes Educator)
1185 TOWN CENTRE DR STE 220
EAGAN, MN 55123

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 Bronwyn Knaebe's NPI number?

The NPI number for Bronwyn Knaebe is 1821594656. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Bronwyn Knaebe located?

Bronwyn Knaebe practices at 1185 Town Centre Dr Ste 220, Eagan, MN 55123. The listed phone number is (651) 379-1600.

What is Bronwyn Knaebe's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Is Bronwyn Knaebe enrolled in Medicare?

Yes. Bronwyn Knaebe 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.

Which organization bills Medicare for Bronwyn Knaebe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bronwyn Knaebe reassigns Medicare benefits to Minnesota Center For Obesity, Metabolism & Endocrinology, PA (Eagan, MN). The 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 Bronwyn Knaebe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bronwyn Knaebe was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.