Individual provider Active NPI

Brooke E. Stewart, PA

  • Physician Assistant
  • Osceola, IA
National Provider Identifier
1750710307
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002433 Issued in IA
Practice address
827 S Jackson St
Osceola, IA 50213-1666
Phone
(641) 342-2128
Fax
(641) 342-3179
NPI assigned
Nov 4, 2013
Last updated
Oct 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002433 IA Primary

Addresses

Primary practice location

827 S Jackson St
Osceola, IA 50213-1666

Mailing address

827 S Jackson St
Osceola, IA 50213-1666
Phone (641) 342-2128

Other identifiers 1

IdentifierTypeStateIssuer
P01353090OtherIARR MEDICARE

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
I20140113000594 IA Practitioner - Physician Assistant 5698903961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6435

1206 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6465

1221 Pleasant St
Des Moines, IA 50309-1424

1221 Pleasant St
Des Moines, IA 50309-1426

1660 60TH St
West Des Moines, IA 50266-7700
Phone (515) 343-1200

410 NW Ash Dr
Ankeny, IA 50023-1552
Phone (515) 964-1101

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Aug 26, 2024 Accepting new patients
Iowa Physicians Clinic Medical Foundation Physician Assistant CurrentSince Nov 15, 2013 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Aug 26, 2024 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Nov 15, 2013 Accepting new patients
Trinity Medical Center Physician Assistant Past Accepting new patients

Locations

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1221 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-4200

2103 Ingersoll Ave
Ste 2
Des Moines, IA 50312
Phone (515) 323-5680

4020 Merle Hay Rd
Ste 100
Des Moines, IA 50310
Phone (515) 278-0949

827 S Jackson St
Osceola, IA 50213
Phone (641) 342-2128

6000 University Ave
Ste 101
West Des Moines, IA 50266
Phone (515) 241-2320

Interoperability endpoints

  • Direct secure messaging: bstewart157245@direct.unitypoint.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1750710307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 S JACKSON ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131666",
            "telephone_number": "641-342-2128",
            "fax_number": "641-342-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 S JACKSON ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131666",
            "telephone_number": "641-342-2128",
            "fax_number": "641-342-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BROOKE",
        "middle_name": "E.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01353090",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IA

Sources for this page

Verify at the official NPI Registry.