Brooke D Gipson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2015042865 Issued in MO

Practice address

1319 E Highway 24
Moberly, MO 65270-3682

Phone

(660) 263-6643

Fax

(660) 263-0333

NPI assigned

Dec 13, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brooke.gipson.p1@direct.pfh.nextgenshare.com

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.

• Preferred Family Healthcare, Inc

  • Community/Behavioral Health Agency
  • Kirksville, MO
  • NPI 1649474206
  Medicare reassignment NPD
• Thomas A Bragg, D.O.

  • Family Medicine Physician
  • Moberly, MO
  • NPI 1790891885
  Medicare reassignment
• Preferred Family Healthcare, Inc.

  dba Clarity Healthcare

  • Federally Qualified Health Center (FQHC)
  • Hannibal, MO
  • NPI 1306721709
  NPD
• Preferred Family Healthcare, Inc.

  dba Clarity Healthcare

  • Federally Qualified Health Center (FQHC)
  • Hannibal, MO
  • NPI 1619490745
  NPD
• Preferred Family Healthcare Inc

  dba Clarity Healthcare

  • Federally Qualified Health Center (FQHC)
  • Hannibal, MO
  • NPI 1639592256
  NPD (past)
• Preferred Family Healthcare, Inc.

  dba Clarity Healthcare

  • Federally Qualified Health Center (FQHC)
  • Monroe City, MO
  • NPI 1235629023
  NPD (past)

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

{
    "created_epoch": "1449964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104291350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 E HIGHWAY 24",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703682",
            "telephone_number": "660-263-6643",
            "fax_number": "660-263-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 E HIGHWAY 24",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703682",
            "telephone_number": "660-263-6643",
            "fax_number": "660-263-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "BROOKE",
        "middle_name": "D",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015042865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy A Fugate
• Joseph William Galaske, PA
• Rebecca Gibson, FNP
• Daniel R Gilbert, DO
• Christine Marie Ginter, ATC
• Sharon V Goen, BS SPEECH THERAPY
• Frederic Lee Gottman, DPT
• Brandi Nicole Grant
• Terry Wayne Griggs, D.C.
• Kevin Dean Gunnerson, O.D.

• Family Nurse Practitioner in Moberly, MO
• Providers in Moberly, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.