Individual provider Active NPI

Brooke Nicole Rea, FNP-C

  • Family Nurse Practitioner
  • Paris, TX
National Provider Identifier
1043075328
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1153073 Issued in TX
Practice address
865 Deshong Dr
Paris, TX 75460-9313
Phone
(903) 737-1165
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1153073 TX
Family Nurse Practitioner 363LF0000X 1153073 TX Primary

Addresses

Primary practice location

865 Deshong Dr
Paris, TX 75460-9313

Mailing address

1060 Braydan
Reno, TX 75462-5902
Phone (903) 401-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240306001739 TX Practitioner - Nurse Practitioner 1557707106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians

Practice addresses (Care Compare)

305 N Collegiate Dr
Paris, TX 75460-4870
Phone (903) 401-8069

865 Deshong Dr
Paris, TX 75460-9313
Phone (903) 785-4521

Hospital & facility affiliations

  • Paris Regional Medical Center Hospital, Paris, TX, CCN 450196

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
R3 Diagnostics LLC CurrentSince Mar 15, 2025 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients

Locations

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

305 N Collegiate Dr
Paris, TX 75460
Phone (903) 401-8069

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

Organizations & group practices 2

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": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1043075328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 BRAYDAN",
            "city": "RENO",
            "state": "TX",
            "postal_code": "754625902",
            "telephone_number": "903-401-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 DESHONG DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609313",
            "telephone_number": "903-737-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1153073",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1153073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.