Kristin Broback, NP, C in Blaine, MN - Medicare Nurse Practitioner

Kristin Broback, NP, C is a medicare enrolled "Nurse Practitioner - Family" in Blaine, Minnesota. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Allina Health System and her current practice location is 10705 Town Square Dr Ne #100, Blaine, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 236-5400.

Kristin Broback is licensed to practice in Minnesota (license number 5976) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841776242.

Contact Information

	Kristin Broback, NP, C
	10705 Town Square Dr Ne #100, Blaine, MN 55449
	(763) 236-5400
	Not Available

Map and Direction

Provider's Profile

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.

Medical Education and Training:

Kristin Broback graduated from nursing school in 2018

NPI Data:

NPI Number: 1841776242
Provider Enumeration Date: 07/18/2018
Last Update Date: 11/10/2020

Medicare PECOS Information:

PECOS PAC ID: 8921350612
Enrollment ID: I20181008001707

Medical Identifiers

Medical identifiers for Kristin Broback such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841776242	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5976 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital	Coon rapids, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3101

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristin Broback allows following entities to bill medicare on her behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Broback is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Nurse Practitioner Nurses in Blaine, MN

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

Kristin Broback, NP, C - Medicare Nurse Practitioner in Blaine, MN