Brianna Jean Schaffer, ARNP

Individual provider Active NPI Family Nurse Practitioner · Villisca, IA

NPI 1700356334 · NPPES record last updated Oct 11, 2022

Key facts

NPI
1700356334
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
A138395 (IA)
Practice address
205 N U Ave
Villisca, IA 50864-7013
Phone
(712) 826-4422
Fax
(712) 826-2052
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Memorial Hospital (43 clinicians)

Practice addresses (Care Compare)

2301 Eastern Ave
Red Oak, IA 51566-1300
Phone (712) 623-7000

Hospital & facility affiliations

  • Angels Care Home Health of Iowa Home health agency · Council Bluffs, IA · CCN 167292
  • Montgomery County Memorial Hospital Hospital · Red Oak, IA · CCN 161363
  • Clarinda Regional Health Center Hospital · Clarinda, IA · CCN 161352

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 IDStateProvider typePAC IDDetails
I20190118002273 IA Practitioner - Nurse Practitioner 2264779859 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
A138395IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Memorial Hospital Current
since Jan 2, 2019
Accepting new patients
Montgomery County Memorial Hospital Family Current
since Jan 2, 2019
Accepting new patients
Montgomery County Memorial Hospital Current Accepting new patients

Locations

1400 Senate Ave
Ste 108103
Red Oak, IA 51566
Phone (712) 623-7280

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

1400 Senate Ave
Ste 108
Red Oak, IA 51566
Phone (712) 623-7250

205 N U Ave
Villisca, IA 50864
Phone (712) 826-4422

Interoperability endpoints

  • Direct secure messaging: mcbschaffer@mcmh.cernerdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A138395 IA Yes

Addresses

Primary practice location

205 N U Ave
Villisca, IA 50864-7013

Mailing address

2301 Eastern Ave
Red Oak, IA 51566-1305
Phone (712) 623-7000

Other names

  • Brianna Jean Young Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address MCBSchaffer@mcmh.cernerdirect.com Direct

Other providers in Villisca, IA

All providers in Villisca, IA · Family Nurse Practitioner in Iowa

Sources for this page

Verify at the official NPI Registry.