Individual provider Active NPI

Shelley Brinkman Diehl

  • Physician Assistant
  • Carroll, IA
National Provider Identifier
1114919818
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001284 Issued in IA
Practice address
1214 S Grant Rd
Carroll, IA 51401-3102
Phone
(712) 792-1500
NPI assigned
Aug 18, 2005
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001284 IA Primary

Addresses

Primary practice location

1214 S Grant Rd
Carroll, IA 51401-3102

Mailing address

1215 Duff Ave
Ames, IA 50010-5469
Phone (515) 239-4400

Other identifiers 1

IdentifierTypeStateIssuer
P00016019OtherIARR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdiehl115976@directmcfarlandclinic.com Health Information Exchange (HIE)

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
I20090909000014 IA Practitioner - Physician Assistant 9830244201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

1214 S Grant Rd
Carroll, IA 51401-3102
Phone (712) 792-1500

1215 Duff Ave
Ames, IA 50010-5400
Phone (515) 239-4400

3500 University Blvd
Suite 1001
Ames, IA 50010-3014
Phone (515) 239-3040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001284IAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
Des Moines University Osteopathic Medical Center Physician Assistant Past Accepting new patients
Farrell PC Past Accepting new patients
St Anthony Regional Hospital and Nursing Home Past Accepting new patients
McFarland Clinic, PC Past Accepting new patients

Locations

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500

Interoperability endpoints

  • Direct secure messaging: sbdiehl@direct.sarh.kobledirect.com
  • Direct secure messaging: sdiehl115976@directmcfarlandclinic.com

Organizations & group practices 6

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

Hospital & facility affiliations 2

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1114919818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105469",
            "telephone_number": "515-239-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 S GRANT RD",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013102",
            "telephone_number": "712-792-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "SHELLEY",
        "middle_name": "BRINKMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00016019",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdiehl115976@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1214 S Grant Rd",
            "city": "Carroll",
            "state": "IA",
            "country_code": "US",
            "postal_code": "514013102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.