BRENDA NOVACINSKI (NP) – Nurse Practitioner, NPI 1851669113

BRENDA NOVACINSKI (NP) is a healthcare provider. based in Andover, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. CNP1068 (MN). The NPI Number for BRENDA NOVACINSKI (NP) is 1851669113

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA NOVACINSKI (NP)
NPI
1851669113
Phone
(763) 421-5011
Address
3633 Bunker Lake Blvd NW
Enumeration Date
1 December 2011
Last Update Date
10 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122568225
Graduation Year
2010 (16 years ago)
PAC ID
8527222900
Group Practice PAC ID
6507234820
Professional Enrollment ID
I20120614000769
Address ID
MN551132708RO2401XNXXX401
Telehealth
Yes

Contacts

Secure Messaging
Brenda.Novacinski@499749571198980.direct.elationemr.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:14State licenses:3Other namesUpdated within 12 months

5,748 NURSE PRACTITIONER in MN

Provider Addresses for BRENDA NOVACINSKI (NP)

  • 3633 Bunker Lake Blvd NW

    Andover, MN 553047402

    Phone: (763) 421-5011

    Type: Location

  • 3633 BUNKER LAKE BLVD NW

    ANDOVER, MN 553047402

    Phone: (763) 421-5011

    Type: Location

  • 1000 41ST AVE NE #120

    COLUMBIA HEIGHTS, MN 554214121

    Phone: (763) 788-0145

    Type: Mailing

  • 2401 FAIRVIEW AVE N # 145

    ROSEVILLE, MN 551132708

    Phone: (763) 225-9050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-06-14

PECOS data refreshed: 2026-06-15

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
I20120614000769INurse PractitionerMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2824$0
81002Urinalysis, manual test1311$0
G0008Administration of influenza virus vaccine1111$0
View full utilization report →

Insurance plans in this area (ZIP 55304)

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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: 6507234820View full group profile
NameSpecialtyState
Physician AssistantMN
Clinical Social WorkerIL
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN
Physician AssistantWI
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What NPI should I save for BRENDA NOVACINSKI (NP)?
Save NPI 1851669113 if you need a stable reference for BRENDA NOVACINSKI (NP).
Is BRENDA NOVACINSKI (NP) currently active in the NPI registry?
CMS-published data lists BRENDA NOVACINSKI (NP) as an active registrant.
Does BRENDA NOVACINSKI (NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for BRENDA NOVACINSKI (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for BRENDA NOVACINSKI (NP)?
The page summarizes Andover, Minnesota for BRENDA NOVACINSKI (NP); expand the address list for detail.
What if Andover, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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