BRANDON BEAU RICKERTSEN D.O. NPI 1639519531

NPI Information

  • NPI: 1639519531
  • Provider Name: BRANDON BEAU RICKERTSEN, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 918 W PLATT ST # 1
    MAQUOKETA, IA
    ZIP 52060
  • Phone: (563) 652-5145

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NPI Details

Brandon Beau Rickertsen, D.O. is a family medicine in Maquoketa, IA with 12 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Brandon Beau Rickertsen, D.O. NPI is 1639519531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:2013

The provider's business location address is:

918 W PLATT ST # 1
MAQUOKETA, IA
ZIP 52060-038
Phone: (563) 652-5145
Fax: (563) 652-3674

The NPI 1639519531 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/25/2013 and was last updated on 5/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineR-9693IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DO-04590OTHERIOWAIA LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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