MEDICARE: BRIAN BARTELT RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0400X	Case Management Registered Nurse	149567-30	WI

General Provider Information

NPI Number	:	1336071661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN BARTELT RN

Provider Business Mailing Address
First Line	:	6000 NW 62ND AVE UNIT 433
Second Line	:
City	:	JOHNSTON
State	:	IA
Zip	:	50131-1538
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 30TH ST
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50310-5753
Country	:	US
Telephone Number	:	515-699-5999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ BRIAN BARTELT RN” Practice Location

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