Maria Isabel Brickner, ARNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G172452 Issued in IA

Practice address

3421 Cheyenne Ranch Rd
Roanoke, TX 76262-4547

Phone

(682) 390-9956

NPI assigned

Jan 5, 2023

Last updated

Jan 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optimae Lifeservices IncGroup PAC ID 8022912211, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Optimae Lifeservices,Inc.

  • Community/Behavioral Health Agency
  • Muscatine, IA
  • NPI 1184898470
  Medicare reassignment Care Compare group NPD
• Mindful Care PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfield, IA
  • NPI 1316701766
  Medicare reassignment NPD
• Optimae Lifeservices, Inc,

  • Community/Behavioral Health Agency
  • Fairfield, IA
  • NPI 1174520084
  NPD
• Nurse in the House, Inc.

  dba Nurse in the House, Inc., Central Iowa

  • Home Health Agency
  • Des Moines, IA
  • NPI 1598196040
  NPD (past)

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

• Jefferson County Hospital

  dba Jefferson County Health Center

  • Critical Access Hospital
  • Fairfield, IA
  • NPI 1376648329
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1790499648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CHEYENNE RANCH RD",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762624547",
            "telephone_number": "682-390-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 CHEYENNE RANCH RD",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762624547",
            "telephone_number": "682-390-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKNER",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "credential": "ARNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G172452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Faith Bjornberg, M.ED.
• Jennifer King Blackledge, PH.D.
• Katlyn Blake
• Marcelle M Bordelon, LPC
• Christopher C Breuder, MD
• Bridlewood Chiropractic
• Melanie Brown, OTR
• Michael Brown
• Jade Elizabeth Brumfield, PTA
• Courtnei Buckley, DPT

• Psychiatric/Mental Health Nurse Practitioner in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.

Verify at the official NPI Registry.