Individual provider Active NPI

Brooke Alex Hollars, ARNP, DNP-C

  • Family Nurse Practitioner
  • Hamburg, IA
National Provider Identifier
1235963786
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A181003 Issued in IA
Practice address
1219 Main Street
Hamburg, IA 51640-1300
Phone
(712) 382-2626
Fax
(712) 382-1931
NPI assigned
Aug 28, 2024
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A181003 IA Primary

Addresses

Primary practice location

1219 Main Street
Hamburg, IA 51640-1300

Mailing address

1219 Main St
Hamburg, IA 51640-1300
Phone (712) 382-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20241016002801 IA Practitioner - Nurse Practitioner 9032641998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Clinic LLCGroup PAC ID 5395634216, 8 clinicians

Practice addresses (Care Compare)

1219 Main St
Hamburg, IA 51640-1300
Phone (712) 382-2626

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A181003IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Inc Current Accepting new patients
Medical Clinic LLC Current Accepting new patients
Medical Clinic LLC CurrentSince Sep 1, 2024 Accepting new patients
Medical Clinic LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

1219 Main St
Hamburg, IA 51640
Phone (712) 382-2626

2959 US Highway 275
Hamburg, IA 51640
Phone (316) 644-5393

Organizations & group practices 4

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 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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1235963786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 MAIN ST",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "516401300",
            "telephone_number": "712-382-2626",
            "fax_number": "712-382-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 MAIN STREET",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "516401300",
            "telephone_number": "712-382-2626",
            "fax_number": "712-382-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLARS",
        "first_name": "BROOKE",
        "middle_name": "ALEX",
        "credential": "ARNP, DNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A181003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, IA

Sources for this page

Verify at the official NPI Registry.