Individual provider Active NPI

Brooke Allison Delkeskamp, APRN

  • Certified Registered Nurse Anesthetist
  • Santa Maria, CA
National Provider Identifier
1104398478
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001355 Issued in CA
Practice address
1311 S Miller St Ste 101
Santa Maria, CA 93454-6900
Phone
(805) 922-6991
NPI assigned
Dec 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95001355 CA Primary

Addresses

Primary practice location

1311 S Miller St Ste 101
Santa Maria, CA 93454-6900

Mailing address

1315 S Miller St Ste 101
Santa Maria, CA 93454-6910

Other names 1

  • Brooke Harris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200804002024 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648519967 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Minneapolis College of Physicians and Surgeons, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Maria Gastroenterology Medical Group Inc.Group PAC ID 6709070964, 23 clinicians
Amsurg San Luis Obispo Anesthesia LLCGroup PAC ID 2466637525, 3 clinicians

Practice addresses (Care Compare)

361 Town Ctr W
Santa Maria, CA 93458-5076
Phone (805) 922-6581

77 Casa St
Suite 106
San Luis Obispo, CA 93405-5804
Phone (805) 541-1021

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
74.86
Promoting interoperability
100
Improvement activities
40
Cost
73.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2300MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Specialists Medical Group CurrentSince Mar 1, 2021 Accepting new patients
Amsurg San Luis Obispo Anesthesia, LLC CurrentSince Jul 27, 2020 Accepting new patients
Pain Management Specialists Medical Group CurrentSince Mar 1, 2021 Accepting new patients
Eric W. Jahnke MD Inc PastSince Jul 12, 2020 Accepting new patients
Dignity Health Past Accepting new patients

Locations

10 Santa Rosa St
Ste 201
Sn Luis Obisp, CA 93405
Phone (805) 544-7246

77 Casa St
Ste 106
Sn Luis Obisp, CA 93405
Phone (805) 541-1021

1320 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-0025

1A Burton Hills Blvd
Nashville, TN 37215
Phone (615) 263-5579

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1104398478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S MILLER ST STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S MILLER ST STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546900",
            "telephone_number": "805-922-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELKESKAMP",
        "first_name": "BROOKE",
        "middle_name": "ALLISON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "HARRIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.