Individual provider Active NPI

Brookelynn K Kendrick, NP-C

  • Nurse Practitioner
  • Rockledge, FL
National Provider Identifier
1225412901
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9314285 Issued in FL
Practice address
1286 Florida Ave S
Rockledge, FL 32955-2484
Phone
(321) 636-7780
Fax
(321) 633-3043
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Roberts and Bryan PA 14 clinicians

Practice addresses (Care Compare)

1286 S Florida Ave
Rockledge, FL 32955-2479
Phone (321) 636-7780

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150904001692 FL Practitioner - Nurse Practitioner 4688980626 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9314285FLMDNurse Practitioner

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
DRS Roberts & Bryan PA CurrentSince Jul 20, 2015 Accepting new patients

Locations

1286 Florida Ave S
Rockledge, FL 32955
Phone (321) 636-7780

4500 S Hopkins Ave
Titusville, FL 32780
Phone (321) 264-2100

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: brookelynnkendrick@brevardskin.allscriptsdirect.net

NPPES NPI Registry

Updated by the provider on Jul 17, 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 ARNP9314285 FL Primary

Addresses

Primary practice location

1286 Florida Ave S
Rockledge, FL 32955-2484

Mailing address

1286 Florida Ave S
Rockledge, FL 32955-2484
Phone (321) 636-7780

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2015.

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1225412901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552484",
            "telephone_number": "321-636-7780",
            "fax_number": "321-633-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552484",
            "telephone_number": "321-636-7780",
            "fax_number": "321-633-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "BROOKELYNN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9314285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.