NPIMap

Individual provider Active NPI

Brienna M Cameron, PA-C

  • Physician Assistant
  • Lynnville, IA
National Provider Identifier
1669711925
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
074695 Issued in IA
Practice address
303 East St
Lynnville, IA 50153-7719
Phone
(641) 527-2929
Fax
(641) 527-2922
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 00000 NE
Physician Assistant 363A00000X 074695 IA Primary

Addresses

Primary practice location

303 East St
Lynnville, IA 50153-7719

Mailing address

6940 Van Dorn St
Suite 201
Lincoln, NE 68506-2858
Phone (402) 323-8572

Other identifiers 1

IdentifierTypeStateIssuer
5101771OtherIAIOWA CONTROLLED

Other names 1

  • Brienna M Cameron Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130409000139 NE Practitioner - Physician Assistant 8325284722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burwell Family Practice PCGroup PAC ID 7719081827, 2 clinicians

Practice addresses (Care Compare)

410 S 8TH Ave
Burwell, NE 68823-0906

410 S 8TH Ave
Burwell, NE 68823-5254
Phone (308) 346-5544

Hospital & facility affiliations

  • VCHS Home Health Home health agency, Ord, NE, CCN 287055
  • Valley County Health System Hospital, Ord, NE, CCN 281353
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1723NEMDMilitary Health Care Provider
00000NEMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Spine Center, LLP CurrentSince Apr 1, 2014 Accepting new patients
Grinnell Regional Medical Center Past Accepting new patients
Grinnell Regional Medical Center Physician Assistant Past Accepting new patients
Grinnell Regional Medical Center Physician Assistant Past Accepting new patients

Locations

6940 Van Dorn St
Ste 201
Lincoln, NE 68506
Phone (402) 323-8484

Interoperability endpoints

  • Direct secure messaging: briennac@burwellfamilypractice.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71581

Organizations & group practices 5

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 5

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": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669711925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 VAN DORN ST",
            "address_2": "SUITE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062858",
            "telephone_number": "402-323-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 EAST ST",
            "city": "LYNNVILLE",
            "state": "IA",
            "postal_code": "501537719",
            "telephone_number": "641-527-2929",
            "fax_number": "641-527-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "BRIENNA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NE",
            "license": "00000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "074695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA CONTROLLED",
            "identifier": "5101771",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIENNA",
            "last_name": "CAMERON",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lynnville, IA

Sources for this page

Verify at the official NPI Registry.