Individual provider Active NPI

Brooke Bender, APRN.CNP

  • Gerontology Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1225701584
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11036325 Issued in FL
Practice address
689 E Altamonte Dr
Altamonte Springs, FL 32701-4801
Phone
(407) 767-7262
Fax
(407) 775-5002
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1048533 TX
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0031389 OH
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0000079 OH
Gerontology Nurse Practitioner 363LG0600X APRN11036325 FL Primary

Addresses

Primary practice location

689 E Altamonte Dr
Altamonte Springs, FL 32701-4801

Mailing address

4160 Little York Rd Ste 20
Dayton, OH 45414-5803
Phone (937) 454-9527

Other practice location 1

4160 Little York Rd Ste 20
Dayton, OH 45414-5803
Phone (937) 454-9527

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bbender802921@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220610001771 OH Practitioner - Nurse Practitioner 6204228141 Reassigns benefits to 1 organization
I20250211001776 FL Practitioner - Nurse Practitioner 6204228141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

2984 Alafaya TRL
Suite 1000
Oviedo, FL 32765-7628
Phone (407) 894-4474

631 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-4802
Phone (407) 303-5214

689 E Altamonte Dr
Altamonte Springs, FL 32701-4801
Phone (407) 894-4474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0000079OHMDAcute Care Nurse Practitioner
APRN11036325FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Mar 24, 2025 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 24, 2025 Accepting new patients

Locations

689 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 767-7262

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

4160 Little York Rd
Ste 20
Dayton, OH 45414
Phone (937) 454-9327

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: bbender4716768@adventhealth.direct-ci.com

Organizations & group practices 3

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 2

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": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1225701584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD STE 20",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145803",
            "telephone_number": "937-454-9527",
            "fax_number": "937-454-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 E ALTAMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014801",
            "telephone_number": "407-767-7262",
            "fax_number": "407-775-5002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 Little York Rd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454145803",
            "country_code": "US",
            "telephone_number": "937-454-9527",
            "fax_number": "937-454-9532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDER",
        "first_name": "BROOKE",
        "credential": "APRN.CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1048533",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0031389",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0000079",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11036325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbender802921@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "4160 Little York Rd Ste 20",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454145803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "4160 Little York Rd Ste 20",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454145803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.