NPIMap

Individual provider Active NPI

Brooke Nicole Schreckhise, FNP

  • Family Nurse Practitioner
  • Brunswick, MO
National Provider Identifier
1114478252
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016035594 Issued in MO
Practice address
815 E Broadway St
Brunswick, MO 65236-1468
Phone
(660) 548-3161
Fax
(660) 831-3361
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 2016035594 MO Primary

Addresses

Primary practice location

815 E Broadway St
Brunswick, MO 65236-1468

Mailing address

815 E Broadway St
Brunswick, MO 65236-1468
Phone (660) 548-3161

Other practice location 1

1000 W Washington St
Lancaster, MO 63548-9038
Phone (660) 457-3772

Other practice location 2

245 S Washington St
Chillicothe, MO 64601-3031
Phone (660) 752-9006

Other identifiers 1

IdentifierTypeStateIssuer
2016035594OtherMOLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BROOKESCHRECKHISE@fitzgibbon.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170104002239 MO Practitioner - Nurse Practitioner 3173804101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hannibal Regional Healthcare System Inc 256 clinicians

Practice addresses (Care Compare)

245 S Washington St
Chillicothe, MO 64601-3031
Phone (660) 752-9006

Hospital & facility affiliations

  • Fitzgibbon Hospital Hospital, Marshall, MO, CCN 260142
  • Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016035594MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System, Inc Current Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Nov 27, 2023 Accepting new patients
Saint Luke'S Neighborhood Clinics, LLC Past Accepting new patients
John Fitzgibbon Memorial Hospital Inc Past Accepting new patients

Locations

624 W Lockling St
Brookfield, MO 64628
Phone (660) 258-3363

245 S Washington St
Chillicothe, MO 64601
Phone (660) 752-9006

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

Interoperability endpoints

  • Direct secure messaging: brookeschreckhise@fitzgibbon.cernerdirect.com
  • Direct secure messaging: brooke.schreckhise.p1@direct.cfmkv.nextgenshare.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1114478252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E BROADWAY ST",
            "city": "BRUNSWICK",
            "state": "MO",
            "postal_code": "652361468",
            "telephone_number": "660-548-3161",
            "fax_number": "660-831-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E BROADWAY ST",
            "city": "BRUNSWICK",
            "state": "MO",
            "postal_code": "652361468",
            "telephone_number": "660-548-3161",
            "fax_number": "660-831-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "MO",
            "postal_code": "635489038",
            "country_code": "US",
            "telephone_number": "660-457-3772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "MO",
            "postal_code": "646013031",
            "country_code": "US",
            "telephone_number": "660-752-9006",
            "fax_number": "660-258-9006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRECKHISE",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016035594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2016035594",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BROOKESCHRECKHISE@fitzgibbon.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Brooke Schreckhise John Fitzgibbon Memorial Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "815 E Broadway St",
            "city": "Brunswick",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652361468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brunswick, MO

Sources for this page

Verify at the official NPI Registry.