Kristin Broback, NP, C | |
10705 Town Square Dr Ne #100, Blaine, MN 55449 | |
(763) 236-5400 | |
Not Available |
Full Name | Kristin Broback |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 10705 Town Square Dr Ne #100, Blaine, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841776242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5976 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital | Coon rapids, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Kristin Broback, NP, C 10705 Town Square Dr Ne Ste 100, Blaine, MN 55449-8185 Ph: (163) 236-5400 | Kristin Broback, NP, C 10705 Town Square Dr Ne #100, Blaine, MN 55449 Ph: (763) 236-5400 |
Olivia Mabberi, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4365 Pheasant Ridge Dr Ne Ste 106, Blaine, MN 55449 Phone: 888-938-3838 Fax: 888-919-1083 | |
Abigail Irene Christensen, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10729 Town Square Dr Ne Ste A, Blaine, MN 55449 Phone: 763-343-9010 | |
Angela Laughlin, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 109th Ave Ne, Minute Clinic, Blaine, MN 55449 Phone: 866-389-2727 | |
Faisal Kadar Abdi, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12312 3rd St Ne, Blaine, MN 55434 Phone: 763-300-9128 | |
Nardos Bekele Legamo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2357 108th Ln Ne, Blaine, MN 55449 Phone: 763-780-0776 | |
Mrs. Jennifer Ann Burvee, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4322 118th Ct Ne, Blaine, MN 55449 Phone: 651-214-3293 | |
Benjamin Jerome Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11107 Ulysses St Ne Ste 100, Blaine, MN 55434 Phone: 763-333-7733 |