Individual provider Active NPI

Debra A Brice, NP

  • Nurse Practitioner
  • Columbia City, IN
National Provider Identifier
1174926919
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71005240A Issued in IN
Practice address
1270 E State Road 205 Ste 240
Columbia City, IN 46725-8506
Phone
(260) 248-9230
Fax
(260) 248-9249
NPI assigned
Oct 8, 2014
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71005240A IN Primary

Addresses

Primary practice location

1270 E State Road 205 Ste 240
Columbia City, IN 46725-8506

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other identifiers 1

IdentifierTypeStateIssuer
201265880MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Direct Messaging Address dbrice80212@Direct.Parkviewexchange.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20141231001023 IN Practitioner - Nurse Practitioner 9931422714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

Practice addresses (Care Compare)

817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc Nurse Practitioner CurrentSince Feb 28, 2015 Accepting new patients
Bowen Health Inc PastSince Feb 18, 2020 Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210

Interoperability endpoints

  • Direct secure messaging: dbrice80212@direct.parkviewexchange.com

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bowen Health ClinicWarsaw, IN, CCN 151099 Federally qualified health center Corporate Director Feb 18, 2020
Bowen Center - Fort WayneFort Wayne, IN, CCN 151152 Federally qualified health center Corporate Director Feb 18, 2020
Bowen Center - HuntingtonHuntington, IN, CCN 151147 Federally qualified health center Corporate Director Feb 18, 2020
Bowen Center - WabashWabash, IN, CCN 151169 Federally qualified health center Corporate Director Feb 18, 2020
Bowen Center - GoshenFort Wayne, IN, CCN 151189 Federally qualified health center Corporate Director Feb 18, 2020
Bowen Center - AuburnAuburn, IN, CCN 151199 Federally qualified health center Corporate Director Feb 18, 2020
Bowen Center - SyracuseSyracuse, IN, CCN 151800 Federally qualified health center Corporate Director Feb 18, 2020
Bowen Center-AngolaAngola, IN, CCN C51000 Federally qualified health center Corporate Director Feb 18, 2020
Bowen Center - Columbia CityColumbia City, IN, CCN C51004 Federally qualified health center Corporate Director Feb 18, 2020
Bowen Center - AlbionAlbion, IN, CCN C51005 Federally qualified health center Corporate Director Feb 18, 2020
Bowen Center - LagrangeLagrange, IN, CCN C51007 Federally qualified health center Corporate Director Feb 18, 2020
Bowen Health - PlymouthPlymouth, IN, CCN C51015 Federally qualified health center Corporate Director Feb 18, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 3

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": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1174926919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 E STATE ROAD 205 STE 240",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467258506",
            "telephone_number": "260-248-9230",
            "fax_number": "260-248-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE",
        "first_name": "DEBRA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005240A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201265880",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1270 E State Road 205 Ste 240",
            "city": "Columbia City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467258506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "1270 E State Road 205 Ste 240",
            "city": "Columbia City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467258506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbrice80212@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "1270 E State Road 205 Ste 240",
            "city": "Columbia City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467258506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

Verify at the official NPI Registry.