Active NPI
Bryan Ferrell
- Family Nurse Practitioner
- Fort Dodge, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A177932
- Practice address
- 1428 2ND Ave N
Fort Dodge, IA 50501-4119 - Phone
- (515) 574-6110
- Fax
- (515) 573-3908
- NPI assigned
- Oct 31, 2023
- Last updated
- Feb 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A177932 | IA | Primary |
| Registered Nurse | 163W00000X | 164170 | IA |
Addresses
Primary practice location
1428 2ND Ave N
Fort Dodge, IA 50501-4119
Mailing address
1428 2ND Ave N
Fort Dodge, IA 50501-4119
Phone (515) 574-6110
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
606 NW 7TH St
Pocahontas, IA 50574-1028
800 Kenyon Rd
Fort Dodge, IA 50501-5776
802 Kenyon Rd
Fort Dodge, IA 50501-5740
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164170 | IA | MD | Registered Nurse |
| A177932 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Regional Medical Center | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients |
Locations
1428 2nd Ave N
Fort Dodge, IA 50501
Phone (515) 573-1145
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
Interoperability endpoints
- bferrell653913@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UnityPoint Clinic
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba VanDiest Medical Center
- Critical Access Hospital
- Webster City, IA
- NPI 1295702397
-
dba Van Diest Medical Center Stratford Clinic
- Rural Health Clinic/Center
- Stratford, IA
- NPI 1497957351
Hospital
-
- Critical Access Hospital
- Humboldt, IA
- NPI 1194702977
-
- Critical Access Hospital
- Pocahontas, IA
- NPI 1346241213
-
- Critical Access Hospital
- Lake City, IA
- NPI 1063497188
-
dba UnityPoint Health Trinity Regional Medical Center
- General Acute Care Hospital
- Fort Dodge, IA
- NPI 1487759858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1649043795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 2ND AVE N",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505014119",
"telephone_number": "515-574-6110",
"fax_number": "515-573-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 2ND AVE N",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505014119",
"telephone_number": "515-574-6110",
"fax_number": "515-573-3908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRELL",
"first_name": "BRYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-31",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A177932",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IA",
"license": "164170",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.