Individual provider Active NPI

Krystine Kay Brashear, ARNP

  • Women's Health Nurse Practitioner
  • Estherville, IA
National Provider Identifier
1043389877
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F-092003 Issued in IA
Practice address
619 2ND Ave N
Estherville, IA 51334-1942
Phone
(712) 362-2404
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F-092003 IA Primary

Addresses

Primary practice location

619 2ND Ave N
Estherville, IA 51334-1942

Mailing address

1825 382ND Ave
Estherville, IA 51334-7506
Phone (712) 362-8925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070531000290 IA Practitioner - Nurse Practitioner 2769580612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woman to Woman Clinic PLCGroup PAC ID 1355449976, 2 clinicians

Practice addresses (Care Compare)

619 2ND Ave N
Estherville, IA 51334-1942
Phone (712) 362-2404

Hospital & facility affiliations

  • Avera @ Home Home health agency, Estherville, IA, CCN 167120
  • Avera Holy Family Hospital Hospital, Estherville, IA, CCN 161351
  • Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
  • Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F-092003IAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woman to Woman Clinic, PLC Women'S Health CurrentSince Mar 21, 2007 Accepting new patients

Locations

619 2nd Ave N
Estherville, IA 51334
Phone (712) 362-2404

400 10th St E
Waconia, MN 55387

Interoperability endpoints

  • Direct secure messaging: womantowoman.krystinebrashear@134018.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1043389877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 382ND AVE",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513347506",
            "telephone_number": "712-362-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 2ND AVE N",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513341942",
            "telephone_number": "712-362-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASHEAR",
        "first_name": "KRYSTINE",
        "middle_name": "KAY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F-092003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estherville, IA

Sources for this page

Verify at the official NPI Registry.