Jessica Leigh Brassfield
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bloomfield, IA
NPI 1497550164 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1497550164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- G182674 (IA)
- Practice address
- 706 N Davis St
Bloomfield, IA 52537-1105 - Phone
- (319) 521-5221
- NPI assigned
- Feb 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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 PC
Practice addresses (Care Compare)
2327 70TH St
Urbandale, IA 50322-4825
Phone (515) 518-0460
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250429000709 | IA | Practitioner - Nurse Practitioner | 9638695083 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G182674 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Psychiatry PC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G182674 | IA | Yes |
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
Other providers in Bloomfield, IA
- Nakila Blessing
- Bloomfield Anesthetists
- Bloomfield Ia Skilled Nursing Facility LLC
- Bloomfield Ia Skilled Nursing Facility, LLC
- Dustin C Bozwell
- Jay R Brewer
- Sean D Brodale
- Jessica Christen
- Dorothy Cline-Campbell
- Country Doctor PC
All providers in Bloomfield, IA · Psychiatric/Mental Health Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.