BROOKE HABISCH – Acute Care Nurse Practitioner, NPI 1871914887

BROOKE HABISCH is a healthcare provider. based in Buffalo, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 6118 (MN). The NPI Number for BROOKE HABISCH is 1871914887

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE HABISCH
NPI
1871914887
Phone
Not provided
Address
1253 IFFERT AVE SE
Enumeration Date
17 December 2013
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
80087305611
Graduation Year
2016 (10 years ago)
PAC ID
6204189368
Group Practice PAC ID
6305024373
Professional Enrollment ID
I20181019001406
Address ID
MN553648239MI5520XCVXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for BROOKE HABISCH

  • 1253 IFFERT AVE SE

    BUFFALO, MN 553135020

    Phone:

    Type: Mailing

  • 1200 SIXTH AVE NO CENTRACARE CLINIC

    SAINT CLOUD, MN 56303

    Phone: (320) 252-5131

    Type: Location

  • 1406 6th Ave N

    Saint Cloud, MN 56303

    Phone: (320) 656-7020

    Type: Location

  • 911 Northland Dr

    Princeton, MN 553712172

    Phone: (763) 389-6426

    Type: Location

  • 5320 W 23RD ST

    SAINT LOUIS PARK, MN 55416

    Phone:

    Type: Mailing

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: 2023-03-01 • Largest payer in this snapshot: Boston Scientific Corporation ($16).

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

2023-03-01

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: 2018-10-19

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
I20181019001406INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55313)

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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: 6305024373View full group profile

Reviews

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Frequently asked questions

What is the standard ID for BROOKE HABISCH in the U.S.?
In the U.S., BROOKE HABISCH is identified by NPI 1871914887.
Is BROOKE HABISCH currently accepting referrals based on NPI status?
Registry metadata lists BROOKE HABISCH as active.
What services align with BROOKE HABISCH's listing?
BROOKE HABISCH's public classification highlights Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BROOKE HABISCH?
BROOKE HABISCH is associated with Buffalo, Minnesota in the same public data insurers reference.
Who maintains BROOKE HABISCH's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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