Ellise Caroline Braveheart, RN, CNP, FNP-C
NPI 1275930026ActiveIndividual· Nurse Practitioner, Family· Cloquet, MN
Nurse Practitioner, Family (RN, CNP, FNP-C) with Polinsky Medical Rehabilitation Center and 1 other group, practicing in Cloquet, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $43,702 for 785 claims, against $4,803 paid for services in 2024. Lists St Lukes Hospital as a hospital affiliation.
Overview
| NPI | 1275930026 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, CNP, FNP-C |
| Sole proprietor | No |
| NPI issued | Nov 21, 2014 |
| Last updated in NPPES | Jan 3, 2023 |
| Certified by provider | Jan 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 9590 | MN |
| Registered Nurse, Medical-Surgical | 163WM0705X | R221785-9 | 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 Practitioner - Nurse Practitioner (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 150 across 33 procedure codes |
| Paid by Medicare | $4,803 |
Part D prescriptions in 2024
| Prescriptions (claims) | 785 · 788 30-day fills |
|---|---|
| Patients | 64 |
| Total drug cost | $43,702 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Polinsky Medical Rehabilitation CenterDuluth, MN · 382 clinicians
- Fond Du Lac Reservation Business CommitteeDuluth, MN · 40 clinicians
Hospital affiliation
- St Lukes HospitalDuluth, 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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