CARMEN RENEE GRANDE HENKE (CNNP) – Neonatal Nurse Practitioner, NPI 1205892833
Neonatal Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CARMEN RENEE GRANDE HENKE (CNNP)
2910, Centre Pointe Drive, Roseville, Ramsey County, Minnesota, 55113, United States
35 121A
ROSEVILLE, MN 55113
Phone: (651) 855-2327
Fax: (651) 855-2310
Type: Mailing
Children's Minnesota - St. Paul Clinic, 347, North Smith Avenue, West Seventh - Fort Road, Saint Paul, Ramsey County, Minnesota, 55102, United States
CHILDRENS SPECIALTY CLINIC NICU
ST PAUL, MN 55102
Phone: (651) 220-6210
Fax: (651) 220-7777
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-06-21
PECOS data refreshed: 2026-06-15
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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 55113)
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