Historic Bluffs Family Practice Clinic., PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HISTORIC BLUFFS FAMILY PRACTICE CLINIC., PC

Practice address

666 Loras Blvd
Dubuque, IA 52001-6233

Phone

(563) 213-1576

NPI assigned

Aug 31, 2020

Organization subpart

No

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

Authorized official

Name

Brenda Husemann, ARNPNPI 1215320940

Title

Arnp

Phone

(563) 213-1576

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Ann Husemann, FNP-BC

  • Primary Care Nurse Practitioner
  • Dubuque, IA
  • NPI 1215320940
  Medicare reassignment Care Compare group NPD Authorized official
• Armella L Wissink, NP

  • Nurse Practitioner
  • Dubuque, IA
  • NPI 1699657502
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1861006645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 LORAS BLVD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016233",
            "telephone_number": "563-213-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 LORAS BLVD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016233",
            "telephone_number": "563-213-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISTORIC BLUFFS FAMILY PRACTICE CLINIC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "HUSEMANN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "563-213-1576",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bhusemann@historicbluffsfpc.com",
            "affiliation": "N",
            "endpointDescription": "owner email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "666 Loras Blvd",
            "city": "Dubuque",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520016233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hinderman Chiropractic Inc.
• Jack Daniel Hinderman, D.C.
• Rebecca Jane Hines Hauder
• Emilia Elizabeth Hinton, ARNP
• Sarah Hirsch, DO
• Kimberlie K Hodne, OD
• Benjamin Hoelscher, D.D.S.
• Nicole Hoerschelman
• Laura Anne Hoffmann, MA
• Paul Eugene Hoffmann, D.D.S., P.C.

• Family Nurse Practitioner in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.