NPIMap

Individual provider Active NPI

Christine Sophia Brubaker, FNP

  • Family Nurse Practitioner
  • Homer, AK
National Provider Identifier
1194158774
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1499 Issued in AK
Practice address
880 E End Rd
Homer, AK 99603-7201
Phone
(907) 226-2228
Fax
(207) 989-2287
NPI assigned
Aug 19, 2013
Last updated
Jan 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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 1499 AK Primary

Addresses

Primary practice location

880 E End Rd
Homer, AK 99603-7201

Mailing address

880 E End Rd
Homer, AK 99603-7201
Phone (907) 226-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150313001080 TX Practitioner - Nurse Practitioner 4486882289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seldovia Village TribeGroup PAC ID 8820072200, 13 clinicians

Practice addresses (Care Compare)

880 E End Rd
Homer, AK 99603-7201
Phone (907) 226-2228

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1499AKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seldovia Village Tribe CurrentSince Dec 15, 2014 Accepting new patients

Locations

880 East End Rd
Homer, AK 99603
Phone (907) 226-2228

Organizations & group practices 1

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.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1194158774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E END RD",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037201",
            "telephone_number": "907-226-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E END RD",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037201",
            "telephone_number": "907-226-2228",
            "fax_number": "207-989-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "CHRISTINE",
        "middle_name": "SOPHIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

Verify at the official NPI Registry.