HAVEN SHAYE BROLSMA CRNP
NPI 1316541287
Nurse Practitioner - Family in Madison, AL
About Haven Shaye Brolsma Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAVEN SHAYE BROLSMA CRNP (NPI 1316541287) is an individual family provider in Madison, Alabama, licensed in Alabama (1-157639) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cullman, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Haven Shaye Brolsma Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Haven Brolsma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, AL 35758
- Reassigned Medicare billing, Alabama enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Haven Brolsma's NPI number?
The NPI number for Haven Brolsma is 1316541287. It was assigned to this individual provider in the NPPES registry on November 22, 2020.
Where is Haven Brolsma located?
Haven Brolsma practices at 101 Ivory Pl, Madison, AL 35758. The listed phone number is (256) 325-0236.
What is Haven Brolsma's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Haven Brolsma enrolled in Medicare?
Yes. Haven Brolsma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Haven Brolsma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haven Brolsma reassigns Medicare benefits to Empower2, LLC. (Madison, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haven Brolsma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Haven Brolsma accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Haven Brolsma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Haven Brolsma was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Haven Shaye Brolsma, CRNP · NPI 1316541287
Family physician in Madison, Alabama. Individual provider, active in the CMS NPPES registry since November 22, 2020.
## Identity
- **NPI:** 1316541287 (Entity type: Individual)
- **Enumerated:** November 22, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-157639 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 IVORY PL, Madison, AL 35758-2349
- **Phone:** (256) 325-0236
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Empower2, LLC. (NPI 1669985503, Madison, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1316541287) · Data from the CMS NPPES public registry.