Individual provider Active NPI

Brione Rezac

  • Family Nurse Practitioner
  • Norfolk, NE
National Provider Identifier
1902537046
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114035 Issued in NE
Practice address
302 W Phillip Ave
Norfolk, NE 68701-5248
Phone
(402) 371-8000
Fax
(402) 371-0971
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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 114035 NE Primary

Addresses

Primary practice location

302 W Phillip Ave
Norfolk, NE 68701-5248

Mailing address

302 W Phillip Ave
Norfolk, NE 68701-5248
Phone (402) 371-8000

Other practice location 1

210 S 3rd St
Norfolk, NE 68701-5204
Phone (402) 371-8000

Other practice location 2

222 S Main St
Madison, NE 68748-6485
Phone (402) 371-8000

Other practice location 3

303 Plaza Dr
West Point, NE 68788-2611
Phone (402) 371-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20220719003285 NE Practitioner - Nurse Practitioner 5890176085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midtown Health Center IncGroup PAC ID 9133110182, 14 clinicians

Practice addresses (Care Compare)

302 W Phillip Ave
Norfolk, NE 68701-5248
Phone (402) 370-1064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Health Center, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Midtown Health Center, Inc. CurrentSince Aug 1, 2022 Accepting new patients

Locations

210 S 3rd St
Norfolk, NE 68701

302 W Phillip Ave
Norfolk, NE 68701
Phone (402) 370-1064

303 Plaza Dr
West Point, NE 68788
Phone (402) 372-1034

Interoperability endpoints

  • Direct secure messaging: brione.rezac.p1@direct.midtownhealthcenter.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1902537046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W PHILLIP AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015248",
            "telephone_number": "402-371-8000",
            "fax_number": "402-371-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W PHILLIP AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015248",
            "telephone_number": "402-371-8000",
            "fax_number": "402-371-0971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687015204",
            "country_code": "US",
            "telephone_number": "402-371-8000",
            "fax_number": "402-371-0971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 S Main St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "NE",
            "postal_code": "687486485",
            "country_code": "US",
            "telephone_number": "402-371-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "NE",
            "postal_code": "687882611",
            "country_code": "US",
            "telephone_number": "402-371-8000",
            "fax_number": "402-371-0971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZAC",
        "first_name": "BRIONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.