Nissa Brekke
NPI 1639751092 · Obstetrics & Gynecology Physician · Wyoming, MN
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nissa Brekke is a Obstetrics & Gynecology Physician provider in Wyoming, MN (NPI 1639751092).
Provider details
- NPI number
- 1639751092
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- P22-00457 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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.
Practice location
Mailing address
Additional practice locations (2)
- 121 Liberty WayDeptford, NJ 08096-6851Phone: (320) 583-1108
- 2225 E Evesham Rd Ste 101Voorhees, NJ 08043-1557Phone: (856) 325-3737
Registry dates
- Enumerated
- 2021-04-26
- Last updated
- 2025-08-12
- Certified
- 2025-08-12
Frequently asked questions
- What is Nissa Brekke's NPI number?
- Nissa Brekke's National Provider Identifier (NPI) is 1639751092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nissa Brekke's specialty?
- Nissa Brekke is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Nissa Brekke located?
- Nissa Brekke's practice location on file with NPPES is 5200 Fairview Blvd, Wyoming, MN 55092-8013.
- What is Nissa Brekke's phone number?
- The practice phone number listed in the NPPES registry for Nissa Brekke is (651) 982-7000.
- Does Nissa Brekke accept Medicare?
- Nissa Brekke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nissa Brekke's NPI active?
- Yes — Nissa Brekke's NPI (1639751092) is active in the NPPES registry as of the last update on 2025-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.