Individual provider Active NPI

Brooke Elizabeth Hotop, FNP-C

  • Family Nurse Practitioner
  • Perryville, MO
National Provider Identifier
1124642764
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020009265 Issued in MO
Practice address
212 Hospital LN Ste 101
Perryville, MO 63775-4204
Phone
(573) 547-7888
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital Perry 115 clinicians

Practice addresses (Care Compare)

12 N Kingshighway
100 Wound Care
Perryville, MO 63775-1367
Phone (573) 768-3399

1508 Edgemont Blvd
Primary Care/Convenient Care
Perryville, MO 63775-1231
Phone (573) 768-3220

206 Hospital LN
Perryville, MO 63775-1382

210 Hospital LN
Perryville, MO 63775-4200

210 Hospital LN
Suite 203
Perryville, MO 63775-1276
Phone (573) 768-3285

212 Hospital LN
Perryville, MO 63775-4204

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

624 Old Saint Marys Rd
Suite a
Perryville, MO 63775-1844
Phone (573) 768-3284

Hospital & facility affiliations

  • Mercy Hospital Perry Hospital, Perryville, MO, CCN 261311
  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110

Medicare participation

Medicare enrollment files
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200729000961 MO Practitioner - Nurse Practitioner 8325464555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020009265MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Mercy Hospital Perry Past Accepting new patients

Locations

206 Hospital Ln
Ste 201
Perryville, MO 63775
Phone (573) 547-4899

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

212 Hospital Ln
Ste 101
Perryville, MO 63775
Phone (573) 547-7888

1508 Edgemont Blvd
Perryville, MO 63775
Phone (573) 339-2000

206 Hospital Ln
Ste 200
Perryville, MO 63775
Phone (573) 331-5677

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020009265 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

212 Hospital LN Ste 101
Perryville, MO 63775-4204

Mailing address

212 Hospital LN Ste 101
Perryville, MO 63775-4204
Phone (573) 547-7888

Other practice location 1

1508 Edgemont Blvd
Perryville, MO 63775-1231
Phone (573) 768-3220

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2020.

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1124642764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HOSPITAL LN STE 101",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637754204",
            "telephone_number": "573-547-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HOSPITAL LN STE 101",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637754204",
            "telephone_number": "573-547-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 Edgemont Blvd",
            "address_purpose": "LOCATION",
            "city": "Perryville",
            "state": "MO",
            "postal_code": "637751231",
            "country_code": "US",
            "telephone_number": "573-768-3220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOTOP",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020009265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MO

Sources for this page

Verify at the official NPI Registry.