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Dr. Denisse Guillen Broadbent , MD

Pediatrics β€’ Baxter, MN

Active NPI 1508399130 Individual Practitioner Female Practitioner
Practice location in NPPES

13060 Isle Dr
Baxter, MN 564258331

Call 2188282880 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

13060 Isle Dr

Baxter, MN 564258331

Telephone 2188282880
Fax 2184545916
Organization at the Same NPPES Address or Phone
Brainerd Medical Center Inc Facility NPI 1841576261

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Broadbent has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Broadbent as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Baxter and Minnesota

4 active clinicians are listed under Pediatrics with a practice address in Baxter, MN (1,292 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-06-12
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MN 66589

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20200629000053

Enrollment State Jurisdiction

MN

PECOS Control ID

0345662904

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Mohammed Azeemuddin , APRN, CNP

Nurse Practitioner - Family

NPI 1144693169

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Andrew Bader , DO

Family Medicine

NPI 1720465552

Doctor of Osteopathic Medicine (D.O.)

NPI 1801875869

Doctor of Medicine (M.D.)

Dr. Travis Beniak , DPT

Physical Therapist

NPI 1184156853

Doctor of Physical Therapy

Lauren Blaine , APRN, CNP

Nurse Practitioner - Family

NPI 1326883950

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Kathlyn Callenius , DO

Psychiatry & Neurology - Neurology

NPI 1144712084

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 12, 2020

Registered at 13060 ISLE DR, BAXTER, MN 564258331 (Tel: 2188282880)

πŸ“
Updated Business Mailing Address June 12, 2020

Registered at 1702 UNIVERSITY DR S, FARGO, ND 581034940

βœ…
NPI Profile Active April 10, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 10, 2017

Registered at 4800 ALBERTA AVE, EL PASO, TX 799052709 (Tel: 9152158000)

πŸ“
Business Mailing Address (Initial Record) April 10, 2017

Registered at 4800 ALBERTA AVE, EL PASO, TX 799052709

πŸ‘€
Provider Name / Credentials (Initial Record) April 10, 2017

Recorded as DENISSE BROADBENT, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 10, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508399130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2017
Last Update: June 12, 2020
Sole Proprietor: No

Mailing Address

1702 University Dr S

Fargo, ND 581034940

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.