What is Broadstone Medical, P.C.'s NPI number?

Broadstone Medical, P.C.'s National Provider Identifier (NPI) is 1366165359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Broadstone Medical, P.C.?

Broadstone Medical, P.C. is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).

Where is Broadstone Medical, P.C. located?

Broadstone Medical, P.C.'s practice location on file with NPPES is 8530 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042-8648.

What is Broadstone Medical, P.C.'s phone number?

The practice phone number listed in the NPPES registry for Broadstone Medical, P.C. is (231) 432-5841.

Does Broadstone Medical, P.C. accept Medicare?

Broadstone Medical, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Broadstone Medical, P.C.?

The authorized official listed on Broadstone Medical, P.C.'s NPPES record is Nancy Herrera, Clinical Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Broadstone Medical, P.C.'s NPI active?

Yes — Broadstone Medical, P.C.'s NPI (1366165359) is active in the NPPES registry as of the last update on 2026-03-26.

OrganizationActiveAccepts Medicare

Broadstone Medical, P.C.

NPI 1366165359 · General Practice Physician · Lake Elmo, MN

Broadstone Medical, P.C. is a General Practice Physician organization in Lake Elmo, MN (NPI 1366165359).

Provider details

NPI number: 1366165359
Entity type: Organization
Primary specialty: General Practice PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Nancy Herrera, Clinical Operations Manager(920) 915-6995

Practice location

8530 Eagle Point Blvd Ste 100

Lake Elmo, MN 55042-8648

Phone: (231) 432-5841

Street-level locationGet directions

More MN providers

Mailing address

222 Lakeview Ave Ste 735

West Palm Beach, FL 33401-6145

Specialties & taxonomies

General Practice PhysicianPrimary208D00000X
Allopathic & Osteopathic Physicians

Additional practice locations (1)

500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902
Phone: (904) 728-6493

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(65/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2022-09-23
Last updated: 2026-03-26
Certified: 2026-03-26

Frequently asked questions

What is Broadstone Medical, P.C.'s NPI number?: Broadstone Medical, P.C.'s National Provider Identifier (NPI) is 1366165359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Broadstone Medical, P.C.?: Broadstone Medical, P.C. is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
Where is Broadstone Medical, P.C. located?: Broadstone Medical, P.C.'s practice location on file with NPPES is 8530 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042-8648.
What is Broadstone Medical, P.C.'s phone number?: The practice phone number listed in the NPPES registry for Broadstone Medical, P.C. is (231) 432-5841.
Does Broadstone Medical, P.C. accept Medicare?: Broadstone Medical, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Broadstone Medical, P.C.?: The authorized official listed on Broadstone Medical, P.C.'s NPPES record is Nancy Herrera, Clinical Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Broadstone Medical, P.C.'s NPI active?: Yes — Broadstone Medical, P.C.'s NPI (1366165359) is active in the NPPES registry as of the last update on 2026-03-26.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Additional practice locations (1)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Additional practice locations (1)

Profile Score

Frequently asked questions