Kamala Mechelle Brooks, NP
Individual provider Active NPI Family Nurse Practitioner · Bowling Green, KY
NPI 1003568759 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1003568759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3017307 (KY)
- Practice address
- 1777 Ashley Cir
Bowling Green, KY 42104-3339 - Phone
- (270) 781-4090
- NPI assigned
- Jan 24, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Graves Gilbert Clinic PLLC
Practice addresses (Care Compare)
201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111
Hospital & facility affiliations
- Family Home Health Care, LLC Dba Adoration Home Health
- Lifeline Health Care of Warren
- The Medical Center (Bowling Green)
- Tristar Greenview Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220608000841 | KY | Practitioner - Nurse Practitioner | 4284012915 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graves Gilbert Clinic PLLC | Current |
Accepting new patients | |
| Graves Gilbert Clinic PLLC | Current |
Accepting new patients | |
| John C Tapp MD | Past |
Accepting new patients | |
| Western Kentucky Orthopaedic and Neurosurgical Associates PLLC | Past |
Accepting new patients |
Locations
1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454
1777 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4090
201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229
Interoperability endpoints
- https://fhir.ggclinic.com/R4/open-R4
- kamalabrooks@ggc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3017307 | KY | Yes |
Addresses
Primary practice location
1777 Ashley Cir
Bowling Green, KY 42104-3339
Mailing address
201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111
Other providers in Bowling Green, KY
- Jeffery Broadbent Jr.
- Andrea Jo Brooks
- Burton Carl Brooks
- Carl David Brooks
- Hannah Katherine Brooks
- Samantha Joanne Brooks
- Sarah Brooks
- Sarah Brooks
- Jodi Deeanne Brosche
- Sarah Beth Brousseau
All providers in Bowling Green, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.