Individual provider Active NPI

Sheri E Brinser, DO

  • Anesthesiology Physician
  • Silvis, IL
National Provider Identifier
1932185154
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2014022833 Issued in MO
Practice address
801 Illini Dr
Silvis, IL 61282-1804
Phone
(309) 281-4000
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2014022833 MO Primary

Addresses

Primary practice location

801 Illini Dr
Silvis, IL 61282-1804

Mailing address

801 Illini Dr
Silvis, IL 61282-1804

Other identifiers 1

IdentifierTypeStateIssuer
428814008MedicaidMO

Other names 1

  • Sheri E Simmons Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sheri.brinser@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706002501 IA Practitioner - Anesthesiology 7214980721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Analgesia PCGroup PAC ID 7810887627, 22 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 324-8160

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2014022833MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia & Analgesia PC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Northeast Missouri Health Council Inc Past Accepting new patients

Locations

2300 53rd Ave
Bettendorf, IA 52722
Phone (563) 332-4422

2222 53rd Ave
Bettendorf, IA 52722
Phone (319) 383-2686

3319 Spring St
Ste 202
Davenport, IA 52807
Phone (563) 355-6236

3319 Spring St
Davenport, IA 52807
Phone (319) 359-1641

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sheri.brinser@direct.genesishealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1932185154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ILLINI DR",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ILLINI DR",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821804",
            "telephone_number": "309-281-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINSER",
        "first_name": "SHERI",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2014022833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428814008",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheri.brinser@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "801 Illini Dr",
            "city": "Silvis",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612821804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "SIMMONS",
            "middle_name": "E",
            "credential": "RNC, APRN, BC, PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silvis, IL

Sources for this page

Verify at the official NPI Registry.