Individual provider Active NPI

Brooke Nicole Martin, PA-C

  • Physician Assistant
  • Clairton, PA
National Provider Identifier
1194322982
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1200 Brooks LN Ste 170
Clairton, PA 15025-3759
Phone
(724) 562-3093
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1200 Brooks LN Ste 170
Clairton, PA 15025-3759

Mailing address

PO Box 300
Perryopolis, PA 15473-0300
Phone (724) 562-3093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210415000358 PA Practitioner - Physician Assistant 2466860226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 745-6100

1000 Higbee Dr
Bethel Park, PA 15102-4200

1200 Brooks LN
Jefferson Hills, PA 15025-3747
Phone (412) 359-6739

4815 Liberty Ave
Pittsburgh, PA 15224-2156

Hospital & facility affiliations

  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Dec 8, 2022 Accepting new patients
Allegheny Clinic CurrentSince Dec 8, 2022 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1000 Higbee Dr
Ste D207
Bethel Park, PA 15102
Phone (412) 330-2873

1200 Brooks Ln
Ste 170
Jefferson Hls, PA 15025
Phone (412) 469-7110

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

118 Gallery Dr
McMurray, PA 15317
Phone (412) 469-7110

4815 Liberty Ave
Ste 145
Pittsburgh, PA 15224
Phone (412) 578-4311

Interoperability endpoints

  • Direct secure messaging: bmartin276838@direct.ahn.org

Organizations & group practices 4

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1194322982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "PERRYOPOLIS",
            "state": "PA",
            "postal_code": "154730300",
            "telephone_number": "724-562-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LN STE 170",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253759",
            "telephone_number": "724-562-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clairton, PA

Sources for this page

Verify at the official NPI Registry.