Active NPI
Brooke N Johnson, PA-C
- Physician Assistant
- St Charles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.006560
- Practice address
- 2900 Foxfield Rd Ste 100
St Charles, IL 60174-5799 - Phone
- (630) 377-6500
- NPI assigned
- Jan 10, 2016
- Last updated
- Apr 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Physician Assistant | 363A00000X | 085.006560 | IL | Primary |
| Physician Assistant | 363A00000X | 10004517A | IN |
Addresses
Primary practice location
2900 Foxfield Rd Ste 100
St Charles, IL 60174-5799
Mailing address
1104 Northwinds Dr
St Charles, IL 60174-5041
Phone (309) 781-8597
Other practice location 1
301 E Day Rd
Mishawaka, IN 46545-3455
Phone (574) 234-8161
Other practice location 2
3525 Olentangy River Rd
Suite 5320
Columbus, OH 43214-3937
Phone (614) 566-4023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
301 E Day Rd
Mishawaka, IN 46545-3455
Phone (574) 204-6700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.006560 | IL | MD | Physician Assistant |
| 10004517A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Winfield Pathology Consultants, S.C. | Current | Accepting new patients | |
| Central Dupage Hospital Association | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients | |
| Mount Carmel Health Providers Inc | Past | Accepting new patients |
Locations
2635 Church Rd
Ste 101
Aurora, IL 60502
Phone (630) 315-6900
231 S Gary Ave
Ste 100
Bloomingdale, IL 60108
Phone (630) 893-9600
Dept 5777
Carol Stream, IL 60122
4445 W Irving Park Rd
Ste 110
Chicago, IL 60641
Phone (312) 921-0417
4732 N Lincoln Ave
Chicago, IL 60625
Phone (312) 399-0559
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
1001 Commerce Dr
Ste 105
Oak Brook, IL 60523
2900 Foxfield Rd
Ste 100
St Charles, IL 60174
Phone (630) 377-6500
1850 Gateway Dr
Ste 100
Sycamore, IL 60178
Phone (815) 217-3252
7 Blanchard Cir
Ste 102
Wheaton, IL 60189
Phone (630) 510-9009
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
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.
-
- Clinic/Center
- South Bend, IN
- NPI 1073680419
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Anatomic Pathology Physician
- Winfield, IL
- NPI 1528147071
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
dba Pickerington Family Practice
- Family Medicine Physician
- Pickerington, OH
- NPI 1477729572
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1205292059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 NORTHWINDS DR",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601745041",
"telephone_number": "309-781-8597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 FOXFIELD RD STE 100",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601745799",
"telephone_number": "630-377-6500"
}
],
"practiceLocations": [
{
"address_1": "301 E Day Rd",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465453455",
"country_code": "US",
"telephone_number": "574-234-8161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3525 Olentangy River Rd",
"address_2": "Suite 5320",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432143937",
"country_code": "US",
"telephone_number": "614-566-4023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "BROOKE",
"middle_name": "N",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-10",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.006560",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10004517A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.