Individual provider Active NPI

Brooke Marie Hewer, ARNP

  • Acute Care Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1821642646
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
A154100 Issued in IA
Practice address
1632 Sycamore St
Iowa City, IA 52240-6044
Phone
(319) 384-8822
NPI assigned
Jul 30, 2019
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X A154100 IA Primary
Family Nurse Practitioner 363LF0000X A154200 IA

Addresses

Primary practice location

1632 Sycamore St
Iowa City, IA 52240-6044

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-8822

Other practice location 1

767 Mormon Trek Blvd
Iowa City, IA 52246-1812
Phone (319) 384-8822

Other practice location 2

720 Pacha Pkwy Ste 1
North Liberty, IA 52317-4797
Phone (319) 384-8822

Other practice location 3

2510 Corridor Way Ste 6A
Coralville, IA 52241-7604
Phone (319) 384-8822

Other practice location 4

201 S Clinton St # 168
Iowa City, IA 52240-4034
Phone (319) 384-8822

Other names 1

  • Brooke Marie Ketelsen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191018000474 IA Practitioner - Nurse Practitioner 0941531149 Reassigns benefits to 1 organization
I20240606003891 IL Practitioner - Nurse Practitioner 0941531149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3415 53Rd Ave
Bettendorf, IA 52722-6976
Phone (563) 742-4350

3904 16TH St
Suite C
Moline, IL 61265-1275
Phone (309) 581-7610

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A154100IAMDAcute Care Nurse Practitioner
A154200IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jul 1, 2024 Accepting new patients
State University of Iowa PastSince Oct 2, 2019 Accepting new patients

Locations

1417 Kimberly Rd
Bettendorf, IA 52722
Phone (563) 742-4350

3415 53rd Ave
Bettendorf, IA 52722
Phone (563) 742-4350

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

5185 Competition Dr
Bettendorf, IA 52722
Phone (563) 888-5660

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

106 19th Ave
Ste 103
Moline, IL 61265
Phone (309) 779-7050

3904 16th St
Ste C
Moline, IL 61265
Phone (309) 581-7610

Interoperability endpoints

  • Direct secure messaging: bhewer1072854@direct.unitypoint.org
  • Direct secure messaging: bhewer169569@uihcdirect.org

Organizations & group practices 3

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 1

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": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1821642646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-384-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 SYCAMORE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406044",
            "telephone_number": "319-384-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "767 Mormon Trek Blvd",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522461812",
            "country_code": "US",
            "telephone_number": "319-384-8822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Pacha Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523174797",
            "country_code": "US",
            "telephone_number": "319-384-8822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 Corridor Way Ste 6A",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522417604",
            "country_code": "US",
            "telephone_number": "319-384-8822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Clinton St # 168",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522404034",
            "country_code": "US",
            "telephone_number": "319-384-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEWER",
        "first_name": "BROOKE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "A154100",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A154200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "KETELSEN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.