Haven Shaye Brolsma, CRNP - Medicare Nurse Practitioner in Madison, AL

Haven Shaye Brolsma, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Madison, Alabama. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Empower2, Llc and her current practice location is 101 Ivory Pl, Madison, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 325-0236.

Haven Shaye Brolsma is licensed to practice in Alabama (license number 1-157639) 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 1316541287.

Contact Information

Haven Shaye Brolsma, CRNP
101 Ivory Pl,
Madison, AL 35758-2349
(256) 325-0236
Not Available

Map and Direction




Provider's Profile

Full NameHaven Shaye Brolsma
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location101 Ivory Pl, Madison, Alabama
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:
  • Haven Shaye Brolsma graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1316541287
  • Provider Enumeration Date: 11/22/2020
  • Last Update Date: 04/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204242589
  • Enrollment ID: I20210311000489

Medical Identifiers

Medical identifiers for Haven Shaye Brolsma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316541287NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-157639 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Empower2, Llc610318514512

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. Haven Shaye Brolsma allows following entities to bill medicare on her behalf.
Entity NameEmpower2, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669985503
PECOS PAC ID: 6103185145
Enrollment ID: O20180119000244

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. Haven Shaye Brolsma 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
Haven Shaye Brolsma, CRNP
2926 County Road 143,
Bremen, AL 35033-7031

Ph: (256) 590-1502
Haven Shaye Brolsma, CRNP
101 Ivory Pl,
Madison, AL 35758-2349

Ph: (256) 325-0236

Reviews and Comments


Nurse Practitioner Nurses in Madison, AL

Krista Young, CRNP
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Phone: 256-975-4291    Fax: 256-288-3334
Dr. Kaitlyn Wendolowski, CRNP
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Natalie R Baker, CRNP
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Phone: 256-325-4365    Fax: 256-461-0393
Chastity D Ayers, FNP
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Medicare: May Accept Medicare Assignments
Practice Location: 600 Sun Temple Dr, Madison, AL 35758
Phone: 256-288-3333    Fax: 256-288-3334
Mr. Blake Hamilton Gilliam,
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Medicare: Accepting Medicare Assignments
Practice Location: 1230 Slaughter Rd Ste C, Madison, AL 35758
Phone: 256-325-0955    
Mrs. Ruth Morris Church, NURSE PRACTITIONER
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Medicare: Accepting Medicare Assignments
Practice Location: 8216 Madison Blvd, Madison, AL 35758
Phone: 256-464-9991    Fax: 256-464-9994
Erin Stinnett, CRNP
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Medicare: Not Enrolled in Medicare
Practice Location: 7500 Highway 72 W, Madison, AL 35758
Phone: 256-964-8338    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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