Individual provider Active NPI

Sheila R Brinkman, APRN, FNP-C

  • Family Nurse Practitioner
  • Gladewater, TX
National Provider Identifier
1891337747
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140963 Issued in TX
Practice address
1600 Broadway Ave
Gladewater, TX 75647-5040
Phone
(903) 315-5630
Fax
(903) 845-6212
NPI assigned
Oct 11, 2019
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140963 TX Primary

Addresses

Primary practice location

1600 Broadway Ave
Gladewater, TX 75647-5040

Mailing address

203 Ithaca Dr
Longview, TX 75604-0610
Phone (903) 918-8520

Other practice location 1

203 Ithaca Dr
Longview, TX 75604-0610
Phone (903) 918-8520

Other identifiers 1

IdentifierTypeStateIssuer
AP140693OtherTXLICENSE TO PRACTICE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL srbrinkman41@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20191216001036 TX Practitioner - Nurse Practitioner 2163593435 Practice locations: Longview, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivy Healthcare Family CurrentSince Oct 19, 2020 Accepting new patients

Locations

1100 N 4th St
Longview, TX 75601
Phone (903) 753-7661

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1891337747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 ITHACA DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756040610",
            "telephone_number": "903-918-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BROADWAY AVE",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756475040",
            "telephone_number": "903-315-5630",
            "fax_number": "903-845-6212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Ithaca Dr",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756040610",
            "country_code": "US",
            "telephone_number": "903-918-8520",
            "fax_number": "866-842-1649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "SHEILA",
        "middle_name": "R",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO PRACTICE",
            "identifier": "AP140693",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "srbrinkman41@gmail.com",
            "affiliation": "N",
            "endpointDescription": "IVY HEALTHCARE, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "203 Ithaca Dr",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756040610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gladewater, TX

Sources for this page

Verify at the official NPI Registry.