Individual provider Active NPI

Brooke Patterson, DNP, FNP-C

  • Family Nurse Practitioner
  • Lexington, SC
National Provider Identifier
1003360637
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20418 Issued in SC
Practice address
815 Old Cherokee Rd
Lexington, SC 29072-9041
Phone
(803) 359-5181
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20418 SC Primary

Addresses

Primary practice location

815 Old Cherokee Rd
Lexington, SC 29072-9041

Mailing address

146 N Hospital Dr
Suite 530
West Columbia, SC 29169-4800

Other practice location 1

1526 Lake Murray Blvd
Columbia, SC 29212-8622
Phone (803) 749-1155

Other identifiers 2

IdentifierTypeStateIssuer
212048OtherSCSC LICENSE #
NP4066MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161019000090 SC Practitioner - Nurse Practitioner 1052609351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

1526 Lake Murray Blvd
Columbia, SC 29212-8622
Phone (803) 749-1155

811 W Main St
Lexington, SC 29072-2500

Hospital & facility affiliations

  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Nov 1, 2024 Accepting new patients
Lexington Health Inc CurrentSince Nov 1, 2024 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

1612 Chapin Rd
Chapin, SC 29036
Phone (803) 345-3414

557 Columbia Ave
#B
Chapin, SC 29036
Phone (803) 345-3414

1526 Lake Murray Blvd
Columbia, SC 29212
Phone (803) 749-1155

815 Old Cherokee Rd
Lexington, SC 29072
Phone (803) 359-5181

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

146 E Hospital Dr
Ste 530
West Columbia, SC 29169
Phone (803) 314-9740

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1003360637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 N HOSPITAL DR",
            "address_2": "SUITE 530",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 OLD CHEROKEE RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729041",
            "telephone_number": "803-359-5181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1526 Lake Murray Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292128622",
            "country_code": "US",
            "telephone_number": "803-749-1155",
            "fax_number": "803-749-1786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE #",
            "identifier": "212048",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4066",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.