Individual provider Active NPI

Jessica Leigh Brassfield

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomfield, IA
National Provider Identifier
1497550164
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G182674 Issued in IA
Practice address
706 N Davis St
Bloomfield, IA 52537-1105
Phone
(319) 521-5221
NPI assigned
Feb 17, 2025
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G182674 IA Primary

Addresses

Primary practice location

706 N Davis St
Bloomfield, IA 52537-1105

Mailing address

706 N Davis St
Bloomfield, IA 52537-1105
Phone (319) 521-5221

Other practice location 1

709 1st St
Keosauqua, IA 52565-7756
Phone (319) 293-3635

Other practice location 2

2327 70th St
Urbandale, IA 50322-4825
Phone (515) 216-4045

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
I20250429000709 IA Practitioner - Nurse Practitioner 9638695083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holistic Psychiatry PCGroup PAC ID 1456884659, 2 clinicians

Practice addresses (Care Compare)

2327 70TH St
Urbandale, IA 50322-4825
Phone (515) 518-0460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Psychiatry PC CurrentSince Apr 1, 2025 Accepting new patients

Locations

709 1st St
Keosauqua, IA 52565
Phone (319) 293-3635

2327 70th St
Urbandale, IA 50322
Phone (515) 270-1344

1200 Valley West Dr
Ste 109
West Des Moines, IA 50266
Phone (515) 212-2091

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1497550164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N DAVIS ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371105",
            "telephone_number": "319-521-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 N DAVIS ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371105",
            "telephone_number": "319-521-5221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 1st St",
            "address_purpose": "LOCATION",
            "city": "Keosauqua",
            "state": "IA",
            "postal_code": "525657756",
            "country_code": "US",
            "telephone_number": "319-293-3635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2327 70th St",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503224825",
            "country_code": "US",
            "telephone_number": "515-216-4045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRASSFIELD",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G182674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, IA

Sources for this page

Verify at the official NPI Registry.