Carmen Renee Grande Henke, CNNP
NPI 1205892833ActiveIndividual· Nurse Practitioner, Neonatal· St Paul, MN
Nurse Practitioner, Neonatal (CNNP) in St Paul, Minnesota, licensed in MN, with an NPI issued in April 2006. Enrolled in Medicare as order and referring only - nurse practitioner.
Overview
| NPI | 1205892833 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNNP |
| Sole proprietor | No |
| NPI issued | Apr 22, 2006 |
| Last updated in NPPES | Dec 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Neonatal Primary | 363LN0000X | R1475155 | MN |
| Nurse Practitioner, Neonatal, Critical Care | 363LN0005X | R1475155 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Nurse Practitioner (MN) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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