NPIMap

Individual provider Active NPI

Darlene A Brink, CRNP

  • Nurse Practitioner
  • Punxsutawney, PA
National Provider Identifier
1205170305
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP012527 Issued in PA
Practice address
551 W Mahoning St
Punxsutawney, PA 15767-1909
Phone
(814) 938-2608
NPI assigned
Nov 15, 2012
Last updated
Dec 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP012527 PA Primary

Addresses

Primary practice location

551 W Mahoning St
Punxsutawney, PA 15767-1909

Mailing address

551 W Mahoning St
Punxsutawney, PA 15767-1909
Phone (814) 938-2608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130117000075 PA Practitioner - Nurse Practitioner 6204089550 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookville HospitalGroup PAC ID 3072579598, shared by 11 NPIs, 45 clinicians
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Brookville, PA 15825-1367
Phone (814) 849-1408

621 S Main St
Penn Highlands Q Care Dubois
Dubois, PA 15801-1413
Phone (814) 299-7520

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP012527PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital Nurse Practitioner CurrentSince Dec 1, 2015 Accepting new patients
Dubois Regional Medical Center CurrentSince Sep 1, 2015 Accepting new patients
Punxsutawney Area Hospital Inc Current Accepting new patients
Dubois Regional Medical Center CurrentSince Sep 1, 2015 Accepting new patients
Punxsutawney Area Hospital Inc CurrentSince Nov 26, 2012 Accepting new patients
Brookville Hospital Nurse Practitioner CurrentSince Dec 1, 2015 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Punxsutawney Area Hospital Inc. CurrentSince Nov 26, 2012 Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

621 S Main St
#Q
Dubois, PA 15801
Phone (814) 299-7520

551 W Mahoning St
Punxsutawney, PA 15767
Phone (814) 249-7001

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

Organizations & group practices 8

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1205170305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 W MAHONING ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671909",
            "telephone_number": "814-938-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W MAHONING ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671909",
            "telephone_number": "814-938-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "DARLENE",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP012527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

Verify at the official NPI Registry.