Jaclyn Alice Heiser Brandmeyer

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A157616 Issued in IA

Practice address

3400 Dexter CT Ste 104
Davenport, IA 52807-3419

Phone

(563) 214-1594

NPI assigned

Jan 23, 2020

Sex

Female

Sole proprietor

No

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 IL

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CGH Medical Center Hospital, Sterling, IL, CCN 140043

Merit-based Incentive Payment System (MIPS)

Final score

80.57 of 100Reported as group

Quality

71.8

Improvement activities

40

Cost

80.85

Merit-based Incentive Payment System (MIPS)

Final score

34.85 of 100Reported as group

Quality

21.4

Improvement activities

0

Cost

76.92

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbrandmeyer20070@cghmc.direct-ci.com

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.

• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  Medicare reassignment Care Compare group NPD
• CGH Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Morrison, IL
  • NPI 1447415724
  NPD

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

• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  Care Compare affiliation

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1881224376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DEXTER CT STE 104",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073419",
            "telephone_number": "563-214-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 DEXTER CT STE 104",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073419",
            "telephone_number": "563-214-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDMEYER",
        "first_name": "JACLYN",
        "middle_name": "ALICE HEISER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2021-10-12",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A157616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braaten Health, LLC
• Sarah May Braden
• Heidi Bradley, ARNP
• Carrie Braet, PNP
• Nicholas Estevan Brambila, LAT
• Alex J Brandtner, DDS MS
• Julie Brashear, IBCLC
• Breakthrough Wellness
• Elise Bream, M.D.
• Matthew J. Bream, MD

• Nurse Practitioner in Davenport, IA
• Providers in Davenport, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.