KATHY H. BRANDLI (M.D.) – Family Medicine Physician, NPI 1265467658

KATHY H. BRANDLI (M.D.) is a healthcare provider. based in Moose lake, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 46671 (MN). The NPI Number for KATHY H. BRANDLI (M.D.) is 1265467658

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KATHY H. BRANDLI (M.D.)
NPI
1265467658
Phone
(218) 485-4491
Address
4570 CTY. HWY. 61
Enumeration Date
12 July 2006
Last Update Date
4 December 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2184854491
Graduation Year
2003 (23 years ago)
PAC ID
3870560279
Group Practice PAC ID
6305758657
Professional Enrollment ID
I20040915000177
Address ID
MN557679401MO4570X61XX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

Provider Addresses for KATHY H. BRANDLI (M.D.)

  • 4570 CTY. HWY. 61

    MOOSE LAKE, MN 55767

    Phone: (218) 485-4491

    Fax: (218) 485-4724

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Astellas Pharma US Inc ($15).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040915000177IFamily PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample15490$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13214$0
99214Established patient office or other outpatient visit, 30-39 minutes11955$0
80053Blood test, comprehensive group of blood chemicals10673$0
99213Established patient office or other outpatient visit, 20-29 minutes7943$0
View full utilization report →

Insurance plans in this area (ZIP 55767)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305758657View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineMN
Family PracticeMN
Family Practice, Emergency MedicineMN
Family PracticeMN
Family Practice, Emergency MedicineMN
Family PracticeMN
Family PracticeMN
-FL
Family PracticeMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What federal number belongs to KATHY H. BRANDLI (M.D.)?
The federal identifier for KATHY H. BRANDLI (M.D.) is NPI 1265467658.
Does this profile mean KATHY H. BRANDLI (M.D.) is currently active?
Yes — KATHY H. BRANDLI (M.D.) appears active in the national provider directory.
What kind of provider is KATHY H. BRANDLI (M.D.)?
The page reflects Family Medicine Physician for KATHY H. BRANDLI (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for KATHY H. BRANDLI (M.D.)?
The page summarizes Moose Lake, Minnesota for KATHY H. BRANDLI (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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