Joshua Hucklenbrick, MSN, ARNP, PMHNP-BC

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Keokuk, IA

NPI 1851986608 · NPPES record last updated Aug 29, 2023

Key facts

NPI
1851986608
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
G162729 (IA)
Practice address
3285 Main St
Keokuk, IA 52632-2263
Phone
(319) 524-6274
Fax
(319) 524-9068
NPI assigned
Mar 3, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100 (group)
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

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
I20210331002002 IA Practitioner - Nurse Practitioner 7012324494 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Iowa Regional Medical Center, Inc. Current
since Jul 1, 2021
Accepting new patients
Henry County Health Center Inc Current
since Aug 24, 2024
Accepting new patients

Locations

5409 Avenue O
Ste 1
Fort Madison, IA 52627
Phone (319) 376-2134

5409 Avenue O
Ste 125
Fort Madison, IA 52627
Phone (319) 376-1130

5409 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530

5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530

3285 Main St
Keokuk, IA 52632
Phone (319) 524-6274

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

1225 S Gear Ave
Ste 251
West Burlington, IA 52655
Phone (319) 768-3700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G162729 IA Yes

Addresses

Primary practice location

3285 Main St
Keokuk, IA 52632-2263

Mailing address

3285 Main St
Keokuk, IA 52632-2263
Phone (319) 524-6274

Other providers in Keokuk, IA

All providers in Keokuk, IA · Psychiatric/Mental Health Nurse Practitioner in Iowa

Sources for this page

Verify at the official NPI Registry.