Brenda Lee Carlson, APRN, ACNS-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

Q067510 Issued in IA

Practice address

9197 NW Polk City Dr
Polk City, IA 50226-2042

Phone

(515) 360-2218

NPI assigned

Nov 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Brenda Lee Hoshaw Former name

Medicare fee-for-service enrollment

Enrolled in IA, VA, MO, OH4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IA, Nurse Practitioner

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MO, Nurse Practitioner, VA

  Medicare reassignment NPD
• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  OH

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1487931614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9197 NW POLK CITY DR",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "50226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9197 NW POLK CITY DR",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502262042",
            "telephone_number": "515-360-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "credential": "APRN, ACNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IA",
            "license": "S-067510",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "Q067510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "HOSHAW",
            "middle_name": "LEE",
            "credential": "APRN, ACNS-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Big Creek Family Dental PLLC
• Benjamin Blaylock, CRNA
• Jennifer Blaylock, FNP
• James Leroy Blessman, MD
• Seth Bonifas
• Centers for Long Term Care of Iowa
• City of Polk City
• Cornerstone Dental Group LLC
• Cornerstone Dental of Iowa,LLC
• Cornerstone Dental of Polk City LLC

• Nurse Practitioner in Polk City, IA
• Providers in Polk City, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.