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

Nissa K Brekke

Individual provider Obstetrics & Gynecology Physician · NPI 1639751092

Nissa K Brekke is an Obstetrics/Gynecology in Wyoming, Minnesota. Graduated from University of Minnesota Medical School in 2021, 5 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and New Jersey.

Years since qualifying
5
Trained at
University of Minnesota Medical School
Licensed in
MN, NJ
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone: (651) 982-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 121 Liberty Way, Deptford, NJ 08096-6851 — (320) 583-1108
  • 2225 E Evesham Rd Ste 101, Voorhees, NJ 08043-1557 — (856) 325-3737

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 80455 (MN)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence P22-00457 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639751092
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2021
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2021 (5 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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