Brooke K Luenenborg, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1090 Issued in NE

Practice address

106 E C St
North Platte, NE 69101-5411

Phone

(308) 532-6165

Fax

(308) 532-7464

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great Plains Health Hospital, North Platte, NE, CCN 280065

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bluenenborg@rjsm-ne.direct.office.nextgen.com

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.

• Roger J Simpson, M.D.

  • Otolaryngology Physician
  • North Platte, NE
  • NPI 1871585281
  Medicare reassignment
• Ear, Nose, Throat & Sinus Clinic, LLC

  • Otolaryngology Physician
  • North Platte, NE
  • NPI 1255607891
  NPD

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

• North Platte Nebraska Hospital Corporation

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533
  Care Compare affiliation
• North Platte Nebraska Hospital Corporation

  • Clinical Medical Laboratory
  • North Platte, NE
  • NPI 1902660509

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1235109562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E C ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015411",
            "telephone_number": "308-532-6165",
            "fax_number": "308-532-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E C ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015411",
            "telephone_number": "308-532-6165",
            "fax_number": "308-532-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUENENBORG",
        "first_name": "BROOKE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnie L Lovell
• Barbara Loving
• Lu'S Sparkles & Beyond
• Katherine Lucas
• Alexander Donald Lucci, CRNA
• Cassandra Lueth
• Marleine Luke, CRNA, APRN
• Dave Lund, LIMHP
• Erica Lunkwitz
• McKennan Lurz

• Medical Physician Assistant in North Platte, NE
• Providers in North Platte, NE by specialty
• Medical Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.

Verify at the official NPI Registry.