Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breanna Marie Cook, PA

Individual provider Medical Physician Assistant · NPI 1144628835

Breanna Marie Cook, PA is a Physician Assistant in St Louis Park, Minnesota. Qualified in 2014, 12 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3850 Park Nicollet Blvd
St Louis Park, MN 55416
Phone: (952) 883-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 56649 Forest Blvd, Pine City, MN 55063-9067 — (763) 220-9157
  • 56649 Forest Blvd, Pine City, MN 55063-9067 — (763) 220-9157

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11763 (MN)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1144628835
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 11, 2014
Last updated in NPPESSeptember 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in St Louis Park