Individual provider Active NPI

Nicole Brooks

  • Family Nurse Practitioner
  • Burden, KS
National Provider Identifier
1093676306
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TMP-163137 Issued in KS
Practice address
17860 112TH Rd
Burden, KS 67019-9249
Phone
(620) 222-4032
NPI assigned
Nov 18, 2025
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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 TMP-163137 KS Primary

Addresses

Primary practice location

17860 112TH Rd
Burden, KS 67019-9249

Mailing address

17860 112TH Rd
Burden, KS 67019-9249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20260205002125 KS Practitioner - Nurse Practitioner 8527547074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Newton Memorial HospitalGroup PAC ID 5294648937, 45 clinicians

Practice addresses (Care Compare)

1230 E 6TH Ave
Winfield, KS 67156-3145

1230 E 6TH Ave
1B Health Professionals of Winfield
Winfield, KS 67156-3144
Phone 62022140001415

1300 E 5TH Ave
Winfield, KS 67156-2407
Phone (620) 222-6270

1305 E 5TH Ave
Winfield, KS 67156-2406
Phone (620) 222-6249

1700 E 9TH Ave
WN Hillside Family Medicine
Winfield, KS 67156-3220
Phone (620) 221-0110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TMP-163137KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Newton Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
William Newton Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
William Newton Memorial Hospital Past Accepting new patients

Locations

200 N Plum St
Moline, KS 67353
Phone (620) 647-8109

1230 E 6th Ave
Ste 1B
Winfield, KS 67156
Phone (620) 221-4000

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1093676306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17860 112TH RD",
            "city": "BURDEN",
            "state": "KS",
            "postal_code": "670199249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17860 112TH RD",
            "city": "BURDEN",
            "state": "KS",
            "postal_code": "670199249",
            "telephone_number": "620-222-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "TMP-163137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burden, KS

Sources for this page

Verify at the official NPI Registry.