Individual provider Active NPI

Jessica Ruth Brooks, APRN

  • Family Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1144973108
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-80331111 Issued in KS
Practice address
200 SW Frazier Cir
Topeka, KS 66606-2800
Phone
(785) 232-2044
NPI assigned
Jan 31, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 53-80331111 KS Primary

Addresses

Primary practice location

200 SW Frazier Cir
Topeka, KS 66606-2800

Mailing address

772 Locust St
Lawrence, KS 66044-5446
Phone (785) 393-1518

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20220202001663 KS Practitioner - Nurse Practitioner 4385037050 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-80331111KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Care Connection, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Midland Care Connection, Inc. CurrentSince Feb 1, 2022 Accepting new patients

Locations

120 SW Frazier Ave
Topeka, KS 66606
Phone (785) 232-2044

200 SW Frazier Cir
Topeka, KS 66606
Phone (785) 232-2044

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1144973108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 LOCUST ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660445446",
            "telephone_number": "785-393-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW FRAZIER CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062800",
            "telephone_number": "785-232-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JESSICA",
        "middle_name": "RUTH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80331111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.