Individual provider Active NPI

Jay R Brewer, CRNA

  • Certified Registered Nurse Anesthetist
  • Bloomfield, IA
National Provider Identifier
1174633002
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D099449 Issued in IA
Practice address
105 E Locust St
Bloomfield, IA 52537-1458
Phone
(641) 664-3602
Fax
(641) 664-3765
NPI assigned
Aug 30, 2006
Last updated
Mar 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D099449 IA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070316000463 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244333995 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
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-CentervilleGroup PAC ID 9739077652, shared by 4 NPIs, 37 clinicians

Practice addresses (Care Compare)

1 Saint Joseph Dr
Centerville, IA 52544-9017
Phone (641) 437-4111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
D099449IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Centerville CurrentSince Sep 24, 2013 Accepting new patients
Wayne County Hospital Current Accepting new patients
Monroe County Hospital Current Accepting new patients
Monroe County Hospital Current Accepting new patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Mercy Medical Center-Centerville CurrentSince Jul 1, 2025 Accepting new patients
Jefferson County Hospital CurrentSince Jul 26, 2025 Accepting new patients
Wayne County Hospital CurrentSince Jan 1, 2018 Accepting new patients
Van Buren County Hospital Current Accepting new patients
Mercy Medical Center-Centerville Nurse Anesthetist, Certified Registered CurrentSince Sep 24, 2013 Accepting new patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Jefferson County Hospital Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2006 Accepting new patients
Monroe County Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Jefferson County Hospital CurrentSince Sep 1, 2006 Accepting new patients
Wayne County Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2018 Accepting new patients
Davis County Hospital Current Accepting new patients
Knoxville Area Anesthesia Services Nurse Anesthetist, Certified Registered Past Accepting new patients
Jefferson County Hospital Past Accepting new patients
Wayne County Hospital Past Accepting new patients
Van Buren County Hospital 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) 446-2339

504 N Cleveland St
Mount Ayr, IA 50854
Phone (641) 464-3226

Interoperability endpoints

  • Direct secure messaging: jbrewer3940324@direct.trinity-health.org

Organizations & group practices 20

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.

View all 20

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1174633002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525370054",
            "telephone_number": "641-664-3602",
            "fax_number": "641-664-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E LOCUST ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371458",
            "telephone_number": "641-664-3602",
            "fax_number": "641-664-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "JAY",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D099449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.