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Active NPI 1205816949 Individual Practitioner Male Practitioner

Shawn Fitzgerald Brigance , ARNP

Nurse Practitioner • Washington, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shawn Brigance, ARNP is a certified Nurse Practitioner practicing in Washington, IA. With approximately 28 years of clinical experience since graduating from Vanderbilt University School Of Medicine in 1998, Shawn Brigance delivers high-quality medical care to the local community at 444 E POLK ST.

Shawn Brigance is affiliated with Citizens Memorial Healthcare and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

444 E Polk St

Washington, IA 523531237

Telephone 3196536601
Fax 3196535624
Associated Practice Facility / Clinic
🏢 Washington Medical Clinic Facility NPI 1235267527

Medicare Profile & Education

Medical School

Vanderbilt University School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Washington, IA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +14.0 yrs vs City Avg
City Avg: 14.0 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Washington, IA (1307 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brigance (28 Years) 28 Yrs
Washington Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
288 64 $145.00 $75.10
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
187 48 $109.00 $57.31
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
153 55 $145.00 $74.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
72 37 $109.00 $55.59
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
47 45 $210.00 $105.99
99306 Initial nursing facility visit, typically 45 minutes per day
32 31 $261.66 $137.72
99306 Initial nursing facility visit, typically 45 minutes per day
32 31 $261.66 $135.85
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
24 24 $210.00 $105.78

Medical Specialties & State Licenses

CMS Verified: 2026-05-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KS 53-44831-101

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IA J146927

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License MO 147353

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100347540A (KS)

Hospital & Practice Group Affiliations

Citizens Memorial Healthcare

None, Bolivar, MO 65613

Phone: 4173286631

Citizens Memorial Healthcare

1155 W Parkview, Bolivar, MO 656138598

Citizens Memorial Healthcare

1500 N Oakland, Bolivar, MO 656133011

Citizens Memorial Healthcare

1155 W Parkview St, Bolivar, MO 656137800

Phone: 4173262550

Citizens Memorial Healthcare

1500 N Oakland Ave, Bolivar, MO 656133099

Phone: 4173286040

Citizens Memorial Healthcare

1155 W Parkview, Bolivar, MO 656137800

Citizens Memorial Healthcare

1245 N Butterfield Rd, Bolivar, MO 656133017

Citizens Memorial Healthcare

1155 W Parkview St, Bolivar, MO 656138279

Secondary Practice Locations

1300 N Oakland Ave

Bolivar, MO 656133042

Phone: 4173267676

9393 W 110th St Ste 500

Overland Park, KS 662101464

Phone: 9138006971

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1104868348

Doctor of Medicine (M.D.)

Dr. Rey Lin , MD

Internal Medicine

NPI 1447244603

Doctor of Medicine (M.D.)

NPI 1679566293

Doctor of Osteopathic Medicine (D.O.)

Dr. Stephan Schomer , MD

Internal Medicine - Cardiovascular Disease

NPI 1700866886

Doctor of Medicine (M.D.)

Stephanie Sparks , ARNP

Nurse Practitioner

NPI 1811252661

Advanced Registered Nurse Practitioner

Dr. Curtis Frier , DO

General Practice

NPI 1902899586

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2026

Nurse Practitioner (License #J146927 in IA)

📍
Updated Business Mailing Address August 19, 2020

Registered at 500 KIRTS BLVD STE 100, TROY, MI 480844135 (Tel: 2484346169)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2020

Nurse Practitioner (License #53-44831-101 in KS)

NPI Profile Active March 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2017

Registered at 444 E POLK ST, WASHINGTON, IA 523531237 (Tel: 3196536601)

📍
Updated Business Mailing Address March 07, 2017

Registered at 400 E POLK ST, PO BOX 909, WASHINGTON, IA 523531237 (Tel: 3196535481)

👤
Provider Name / Credentials Updated March 07, 2017

Recorded as SHAWN BRIGANCE, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2017

Nurse Practitioner (License #J146927 in IA)

NPI Profile Active January 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2011

Registered at 21107 DONAHOO, TONGANOXIE, KS 660864153 (Tel: 9137424084)

📍
Updated Business Mailing Address January 07, 2011

Registered at 21107 DONAHOO RD, PO BOX 996, TONGANOXIE, KS 660864153 (Tel: 9137424084)

👤
Provider Name / Credentials Updated January 07, 2011

Recorded as SHAWN BRIGANCE, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2011

Nurse Practitioner (License #53-44831-101 in KS)

🟢
Initial NPI Registration & Enumeration January 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205816949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2006
Last Update: May 07, 2026
Sole Proprietor: No

Mailing Address

500 Kirts Blvd Ste 100

Troy, MI 480844135

Phone: 2484346169

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.