Jay R Brewer, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Bloomfield, IA
NPI 1174633002 · NPPES record last updated Mar 6, 2012
Key facts
- NPI
- 1174633002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- D099449 (IA)
- Practice address
- 105 E Locust St
Bloomfield, IA 52537-1458 - Phone
- (641) 664-3602
- Fax
- (641) 664-3765
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Medical Center-Centerville
Practice addresses (Care Compare)
1 Saint Joseph Dr
Centerville, IA 52544-9017
Phone (641) 437-4111
Hospital & facility affiliations
- Mercyone Centerville Medical Center
- Monroe County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070316000463 | IA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0244333995 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D099449 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Buren County Hospital | Current |
Accepting new patients | |
| Wayne County Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Mercy Medical Center-Centerville | Current |
Accepting new patients | |
| Mercy Medical Center-Centerville | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Monroe County Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Wayne County Hospital | Current |
Accepting new patients | |
| Monroe County Hospital | Current | Accepting new patients | |
| Jefferson County Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Jefferson County Hospital | Current |
Accepting new patients | |
| Van Buren County Hospital | Current |
Accepting new patients | |
| Jefferson County Hospital | Current |
Accepting new patients | |
| Davis County Hospital | Current | Accepting new patients | |
| Mercy Medical Center-Centerville | Current |
Accepting new patients | |
| Monroe County Hospital | Current | Accepting new patients | |
| Wayne County Hospital | Current | Accepting new patients | |
| Van Buren County Hospital | Current | Accepting new patients | |
| Van Buren County Hospital | Past | Accepting new patients | |
| Jefferson County Hospital | Past | Accepting new patients | |
| Wayne County Hospital | Past | Accepting new patients | |
| Knoxville Area Anesthesia Services | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
6580 165th St
Albia, IA 52531
Phone (641) 932-1756
509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145
1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482
1200 N 7th St
Chariton, IA 50049
Phone (515) 774-3000
417 S East St
Corydon, IA 50060
Phone (641) 872-2260
2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204
304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171
1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340
504 N Cleveland St
Mount Ayr, IA 50854
Phone (641) 464-3226
Interoperability endpoints
- jbrewer3940324@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D099449 | IA | Yes |
Addresses
Primary practice location
105 E Locust St
Bloomfield, IA 52537-1458
Mailing address
PO Box 54
Bloomfield, IA 52537-0054
Phone (641) 664-3602
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430059427 | Other | RAILROAD MEDICARE | |
| 0206177 | Medicaid | IA | |
| 16605 | Other | IA | BCBS |
Other providers in Bloomfield, IA
- Bloomfield Anesthetists
- Bloomfield Ia Skilled Nursing Facility LLC
- Bloomfield Ia Skilled Nursing Facility, LLC
- Dustin C Bozwell
- Jessica Leigh Brassfield
- Sean D Brodale
- Jessica Christen
- Dorothy Cline-Campbell
- Country Doctor PC
- Davis C.S.D.
All providers in Bloomfield, IA · Certified Registered Nurse Anesthetist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.