JAY R BREWER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174633002

JAY R BREWER (CRNA) is a healthcare provider. based in Bloomfield, Iowa. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. D099449 (IA). The NPI Number for JAY R BREWER (CRNA) is 1174633002

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
JAY R BREWER (CRNA)
NPI
1174633002
Phone
(641) 664-3602
Address
PO BOX 54
Enumeration Date
30 August 2006
Last Update Date
6 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6414724111
Graduation Year
1994 (32 years ago)
PAC ID
0244333995
Group Practice PAC ID
9335059575
Professional Enrollment ID
I20070316000463
Address ID
IA525569572FA2000XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

522 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IA

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Provider Addresses for JAY R BREWER (CRNA)

  • ANDARA Gallery, 54, Wilson Road, Bloomfield, Prince Edward County, Central Ontario, Ontario, K0K 1G0, Canada

    BLOOMFIELD, IA 525370054

    Phone: (641) 664-3602

    Fax: (641) 664-3765

    Type: Mailing

  • 105, East Locust Street, Bloomfield, Davis County, Iowa, 52537, United States

    BLOOMFIELD, IA 525371458

    Phone: (641) 664-3602

    Fax: (641) 664-3765

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-03-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070316000463ICertified Registered Nurse Anesthetist (Crna)IATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
62323Injection of substance into lower spine canal using imaging guidance6152$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance1511$0
View full utilization report →

Insurance plans in this area (ZIP 52537)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335059575View full group profile
NameSpecialtyState
Physician AssistantIA
Family PracticeIA
-IA
Orthopedic SurgeryIA
Family PracticeIA
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIA
Physician AssistantIA
Certified Registered Nurse Anesthetist (Crna)IA
Family PracticeIA

Reviews

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Frequently asked questions

What federal number belongs to JAY R BREWER (CRNA)?
The federal identifier for JAY R BREWER (CRNA) is NPI 1174633002.
Is JAY R BREWER (CRNA) currently active in the NPI registry?
CMS-published data lists JAY R BREWER (CRNA) as an active registrant.
Can you summarize JAY R BREWER (CRNA)'s specialty in plain language?
Clinically, the directory lists JAY R BREWER (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is JAY R BREWER (CRNA)'s primary listing?
We display Bloomfield, Iowa because that is what the record indicates for JAY R BREWER (CRNA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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