Active NPI
Brookville Express Care & Wellness Center
- Urgent Care Clinic/Center
- Brookville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- BROOKVILLE EXPRESS CARE & WELLNESS CENTER
- Practice address
- 430 Arlington Rd Ste B
Brookville, OH 45309-1103 - Phone
- (937) 641-9389
- NPI assigned
- Sep 26, 2024
- Last updated
- Apr 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shelby Gonsales, APRN-CNP
- Title
- Nurse Practitioner
- Phone
- (937) 867-7700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary | |
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
430 Arlington Rd Ste B
Brookville, OH 45309-1103
Mailing address
430 Arlington Rd Ste B
Brookville, OH 45309-1103
Phone (937) 741-4888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2311798 | Brookville Express Care & Wellness Center | Certificate of waiver | Sep 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
430 Arlington Rd
#B
Brookville, OH 45309
Phone (937) 741-4888
430 Arlington Rd
Ste B
Brookville, OH 45309
Phone (937) 770-1265
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Englewood, OH
- NPI 1821423401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744156800000",
"number": "1144047440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 ARLINGTON RD STE B",
"city": "BROOKVILLE",
"state": "OH",
"postal_code": "453091103",
"telephone_number": "937-741-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 ARLINGTON RD STE B",
"city": "BROOKVILLE",
"state": "OH",
"postal_code": "453091103",
"telephone_number": "937-641-9389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKVILLE EXPRESS CARE & WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-26",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A",
"authorized_official_last_name": "GONSALES",
"authorized_official_first_name": "SHELBY",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "937-867-7700",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN-CNP"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookville, OH
- Brookhaven Home Care & Services
- Brookhaven Home Health Inc.
- Brookville Enterprises, Inc. (Lakeview Assisted Living Center)
- Brookville Enterprises, Inc. (Brookhaven Nursing Care Center)
- Brookville Enterprises, Inc. (Brookhaven Nursing and Rehabilitation Center - Laboratory)
- Brookville Local School District
- Erica Brown, APRN
- Danielle Carlson
- Nancy M Cera
- City of Brookville (Brookville Fire Department)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.