Jeremiah Bro, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

113011 Issued in OK

Practice address

1301 W 6TH Ave Ste 207
Stillwater, OK 74074-4381

Phone

(405) 533-3010

NPI assigned

Oct 23, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stillwater Medical Center AuthorityGroup PAC ID 2365353794, 155 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as apm

Quality

76.55

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jeremiah.bro.p1@direct.smc.nextgenshare.com

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.

• Stillwater Medical Center Authority

  • Family Medicine Physician
  • Stillwater, OK
  • NPI 1558377135

  Family, OK

  Medicare reassignment Care Compare group NPD
• Oliver Street 5.01(a) Inc.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413

  OK

  Medicare reassignment NPD
• Stillwater Medical Center Authority

  • Rural Acute Care Hospital
  • Perry, OK
  • NPI 1003318692
  Care Compare group
• Stillwater Medical Center Authority

  • Rural Acute Care Hospital
  • Blackwell, OK
  • NPI 1104375237
  Care Compare group
• Stillwater Medical Center Authority

  • General Acute Care Hospital
  • Stillwater, OK
  • NPI 1164494027
  Care Compare group
• Stillwater Medical Center Authority

  • Rehabilitation Hospital Unit
  • Stillwater, OK
  • NPI 1336111830
  Care Compare group
• Stillwater Medical Center Authority

  • Community Based Hospice Care Agency
  • Stillwater, OK
  • NPI 1386173466
  Care Compare group
• Stillwater Medical Center Authority

  • Durable Medical Equipment & Medical Supplies
  • Stillwater, OK
  • NPI 1407937220
  Care Compare group
• Stillwater Medical Center Authority

  • Rural Health Clinic/Center
  • Blackwell, OK
  • NPI 1558990192
  Care Compare group
• Stillwater Medical Center Authority

  • Rural Health Clinic/Center
  • Perry, OK
  • NPI 1720561939
  Care Compare group
• Stillwater Medical Center Authority

  • Home Health Agency
  • Stillwater, OK
  • NPI 1871567958
  Care Compare group
• Stillwater Medical Center Authority

  • Rural Health Clinic/Center
  • Perry, OK
  • NPI 1972005981
  Care Compare group

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

• Stillwater Medical Center Authority

  • General Acute Care Hospital
  • Stillwater, OK
  • NPI 1164494027

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1104337781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 6TH AVE STE 207",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744381",
            "telephone_number": "405-533-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 6TH AVE STE 207",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744381",
            "telephone_number": "405-533-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRO",
        "first_name": "JEREMIAH",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "113011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breakaway Mental Health, PLLC
• Robert Allan Breedlove, M.D., FAAD
• Barry Lynn Brian, D.PH
• Shawna Marie Bridge
• Susan Brien, LPC
• Anna Claire Brock, MS, CCC-SLP
• Brookdale Senior Living Communities, Inc.
• Russell Charles Brorsen, D.D.S.
• Matthew William Brosi, PH.D.
• Daniel Adrian Brown, D.O.

• All providers in Stillwater, OK
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.