Individual provider Active NPI

Brittney J Peters, ARNP

  • Family Nurse Practitioner
  • Humboldt, IA
National Provider Identifier
1326525643
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
129776 Issued in IA
Practice address
1010 15TH St N
Humboldt, IA 50548-1008
Phone
(515) 332-2015
Fax
(515) 332-4211
NPI assigned
Jul 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 129776 IA
Family Nurse Practitioner 363LF0000X 129776 IA Primary

Addresses

Primary practice location

1010 15TH St N
Humboldt, IA 50548-1008

Mailing address

1010 15TH St N
Humboldt, IA 50548-1008
Phone (515) 332-2015

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
I20180904002515 IA Practitioner - Nurse Practitioner 1355691858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

1000 15TH St N C
Unitypoint Health Trinity Heart Center
Humboldt, IA 50548-1008
Phone (515) 206-7270

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Fort Dodge, IA, CCN 167149
  • Humboldt County Memorial Hospital Hospital, Humboldt, IA, CCN 161334
  • Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129776IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Trinity Regional Medical Center CurrentSince Aug 6, 2018 Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1010 15th St N
Humboldt, IA 50548
Phone (515) 332-2015

1000 15th St N
Ste D
Humboldt, IA 50548
Phone (515) 332-7555

Interoperability endpoints

  • Direct secure messaging: bbennett109056@direct.unitypoint.org

Organizations & group practices 2

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

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1326525643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 15TH ST N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481008",
            "telephone_number": "515-332-2015",
            "fax_number": "515-332-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 15TH ST N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481008",
            "telephone_number": "515-332-2015",
            "fax_number": "515-332-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "BRITTNEY",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "129776",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "129776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, IA

Sources for this page

Verify at the official NPI Registry.