Jessalyn Brockman, - Medicare Nurse Practitioner in Council Bluffs, IA

Jessalyn Brockman, is a medicare enrolled "Nurse Practitioner - Family" in Council Bluffs, Iowa. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Md West One, Pc, Md West One, Pc and her current practice location is 1 Edmundson Pl Ste 200, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (402) 390-4111.

Jessalyn Brockman is licensed to practice in Iowa (license number A120454) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073962700.

Contact Information

Jessalyn Brockman,
1 Edmundson Pl Ste 200,
Council Bluffs, IA 51503-4658
(402) 390-4111
(402) 390-4115



Provider's Profile

Full NameJessalyn Brockman
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1 Edmundson Pl Ste 200, Council Bluffs, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessalyn Brockman graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1073962700
  • Provider Enumeration Date: 06/03/2016
  • Last Update Date: 12/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315239720
  • Enrollment ID: I20160705002173

Medical Identifiers

Medical identifiers for Jessalyn Brockman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073962700NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A120454 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Jennie EdmundsonCouncil bluffs, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Md West One, Pc044622885266
Md West One, Pc044622885266

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessalyn Brockman allows following entities to bill medicare on her behalf.
Entity NameClarinda Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629196241
PECOS PAC ID: 4587573993
Enrollment ID: O20031205000207

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Entity NameMiller Orthopaedic Affiliates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659379519
PECOS PAC ID: 4385533769
Enrollment ID: O20040312001239

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Entity NameMd West One, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588616767
PECOS PAC ID: 0446228852
Enrollment ID: O20080403000013

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessalyn Brockman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessalyn Brockman,
8005 Farnam Dr Ste 305,
Omaha, NE 68114-3426

Ph: (402) 390-4111
Jessalyn Brockman,
1 Edmundson Pl Ste 200,
Council Bluffs, IA 51503-4658

Ph: (402) 390-4111

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Nurse Practitioner Nurses in Council Bluffs, IA

Jennifer L Achenbach,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503
Phone: 712-325-2484    
Mallory Lloyd, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 808 E Pierce St, Council Bluffs, IA 51503
Phone: 402-740-6503    
Michelle Rude, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 933 E Pierce St, Council Bluffs, IA 51503
Phone: 712-396-4360    Fax: 712-396-7069
Shannon Ranae Stafford, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1604 2nd Ave, Council Bluffs, IA 51501
Phone: 712-322-6650    Fax: 712-328-7985
Brian Luedke, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 933 E Pierce St, Council Bluffs, IA 51503
Phone: 712-396-4360    Fax: 712-396-7069
Ms. Emily Wickham,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3434 W Broadway Ste 100, Council Bluffs, IA 51501
Phone: 712-325-0022    

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