Individual provider Active NPI

Jamilla Brooks, APRN, FNP-BC

  • Family Nurse Practitioner
  • Homewood, IL
National Provider Identifier
1245749563
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015939 Issued in IL
Practice address
18903 Center Ave
Homewood, IL 60430-4201
Phone
(708) 253-5883
NPI assigned
Sep 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008084 IN
Family Nurse Practitioner 363LF0000X 209015939 IL Primary

Addresses

Primary practice location

18903 Center Ave
Homewood, IL 60430-4201

Mailing address

3313 E 83Rd PL
Merrillville, IN 46410-6544
Phone (708) 253-5883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20180112001575 IL Practitioner - Nurse Practitioner 0143589473 Reassigns benefits to 2 organizations
I20180705002314 IN Practitioner - Nurse Practitioner 0143589473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unity Hospice of Northwest Indiana LLCGroup PAC ID 1658391347, 5 clinicians

Practice addresses (Care Compare)

3313 E 83Rd PL
Merrillville, IN 46410-6544
Phone (219) 769-8648

Hospital & facility affiliations

  • Accentcare Home Health of Indiana Home health agency, Crown Point, IN, CCN 157436

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209015939ILMDFamily Nurse Practitioner
71008084INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hansa Medical Groupe PLLC CurrentSince Jun 15, 2018 Accepting new patients
Vpa PC Current Accepting new patients
Unity Hospice of Northwest Indiana LLC CurrentSince Sep 1, 2024 Accepting new patients
Vpa PC CurrentSince Jan 27, 2022 Accepting new patients
Vpa PC CurrentSince Jan 27, 2022 Accepting new patients

Locations

4101 Main St
Skokie, IL 60076
Phone (312) 847-2458

3313 E 83rd Pl
Merrillville, IN 46410
Phone (219) 269-7824

Organizations & group practices 6

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 1

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": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1245749563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 E 83RD PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106544",
            "telephone_number": "708-253-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18903 CENTER AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304201",
            "telephone_number": "708-253-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JAMILLA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008084",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

Verify at the official NPI Registry.