Individual provider

Kristen Medhanie, RN, CNP

Primary Care Nurse Practitioner Registered Nurse Medicare enrolled

Kristen Medhanie, RN, CNP is a Primary Care Nurse Practitioner in Brooklyn Park, MN, registered under NPI 1063812436. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 9300 NOBLE PKWY N ALLINA MEDICAL CLINIC- BROOKLYN PARK, Brooklyn Park, MN 55443. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

9300 NOBLE PKWY N ALLINA MEDICAL CLINIC- BROOKLYN PARK, Brooklyn Park, MN 55443 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
F1014122 MN Primary Care Nurse Practitioner primary
R190231-4 MN Registered Nurse

This provider holds licence F1014122 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
7517280589
Enrollment ID
I20141223001526

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Primary Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP2300X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Primary Care

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP2300X Primary Care Nurse Practitioner Primary Care F1014122 MN primary
163W00000X Registered Nurse R190231-4 MN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063812436 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 3, 2014
Last updatedNov 10, 2020
StatusActive
Sole proprietorNo
CredentialRN, CNP
Practice address 9300 NOBLE PKWY N
ALLINA MEDICAL CLINIC- BROOKLYN PARK
Brooklyn Park, MN 55443
(763) 236-5300
Mailing address 2925 CHICAGO AVE
Minneapolis, MN 55407
The last update on file is Nov 10, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1063812436 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 8 1 2 4 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 7 1 4 4 6

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063812436?
NPI 1063812436 is the National Provider Identifier assigned to Kristen Medhanie, RN, CNP in Brooklyn Park, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Primary Care cover?
Definition to come...
How do I contact Kristen Medhanie, RN, CNP?
The phone number on file with NPPES is (763) 236-5300, last updated Nov 10, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kristen Medhanie, RN, CNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063812436 a valid number?
Yes. 1063812436 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.