GRANT TYLER BREKKEN CRNA
NPI 1881084408
Nurse Anesthetist, Certified Registered in Roseville, MN
About Grant Tyler Brekken Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRANT TYLER BREKKEN CRNA (NPI 1881084408) is an individual nurse anesthetist, certified registered in Roseville, Minnesota, licensed in Minnesota (104950) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grant Tyler Brekken Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Grant Brekken reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55413
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Mngi Digestive Health PA
- 322 clinicians in this Medicare group
Blaine, MN 55449
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 29 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Baldwin, WI 54002
- Reassigned Medicare billing, Wisconsin enrollment
- 211 clinicians in this Medicare group
Altoona, WI 54720
- Reassigned Medicare billing, Wisconsin enrollment
- 9 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55113 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, MN 55113
ROSEVILLE, MN 55113
ROSEVILLE, MN 55113
ROSEVILLE, MN 55113
ROSEVILLE, MN 55113
ROSEVILLE, MN 55113
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 Grant Brekken's NPI number?
The NPI number for Grant Brekken is 1881084408. It was assigned to this individual provider in the NPPES registry on February 3, 2015.
Where is Grant Brekken located?
Grant Brekken practices at 2700 Snelling Ave N Ste 400, Roseville, MN 55113. The listed phone number is (651) 697-5863.
What is Grant Brekken's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Grant Brekken enrolled in Medicare?
Yes. Grant Brekken is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Grant Brekken's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grant Brekken reassigns Medicare benefits to 5 organizations: Mngi Digestive Health, P.A. (Minneapolis, MN), Twin Anesthesia LLC (Blaine, MN), Metropolitan Anesthesia Network, LLP (Plymouth, MN), Baldwin Area Medical Center, Inc. (Baldwin, WI) and Advanced Surgical And Restorative Care LLC (Altoona, WI). 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 Grant Brekken'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 Grant Brekken was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Grant Tyler Brekken, CRNA · NPI 1881084408
Nurse Anesthetist, Certified Registered physician in Roseville, Minnesota. Individual provider, active in the CMS NPPES registry since February 3, 2015.
## Identity
- **NPI:** 1881084408 (Entity type: Individual)
- **Enumerated:** February 3, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 104950 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2700 SNELLING AVE N, STE 400, Roseville, MN 55113-1719
- **Phone:** (651) 697-5863 · **Fax:** (855) 826-4934
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mngi Digestive Health, P.A. (NPI 1609804541, Minneapolis, MN); Twin Anesthesia LLC (NPI 1265105332, Blaine, MN); Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN); Baldwin Area Medical Center, Inc. (NPI 1467496133, Baldwin, WI); Advanced Surgical And Restorative Care LLC (NPI 1194466235, Altoona, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1881084408) · Data from the CMS NPPES public registry.