Active NPI
Brenda J. Kruse, MD
- Anesthesiology Physician
- Ames, IA
National Provider Identifier
1316937113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 33895
- Practice address
- 1111 Duff Ave
Ames, IA 50010-3014 - Phone
- (515) 239-2182
- Fax
- (515) 239-3665
- NPI assigned
- Oct 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 33895 | IA | Primary |
Addresses
Primary practice location
1111 Duff Ave
Ames, IA 50010-3014
Mailing address
1111 Duff Ave
Ames, IA 50010-5793
Phone (515) 239-2182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0227348 | Medicaid | IA |
Other names 1
- Dr. Brenda Jo McDevitt
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkruse232@directmcfarlandclinic.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33895 | IA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1316937113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500105793",
"telephone_number": "515-239-2182",
"fax_number": "515-239-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500103014",
"telephone_number": "515-239-2182",
"fax_number": "515-239-3665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "BRENDA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-24",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "33895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0227348",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkruse232@directmcfarlandclinic.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1111 Duff Ave",
"city": "Ames",
"state": "IA",
"country_code": "US",
"postal_code": "500103014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "MCDEVITT",
"middle_name": "JO",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.