Brooke Ann Manuel, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

694390 Issued in TX

Practice address

2548 Memorial Blvd
Port Arthur, TX 77640-2825

Phone

(409) 983-1161

NPI assigned

Jun 29, 2012

Last updated

Sep 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 TX

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

Nurse Practitioner

Education

University of Texas Medical School at Houston, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Coast Health Center IncGroup PAC ID 5597675215, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gulf Coast Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Port Arthur, TX
  • NPI 1912904897
  Medicare reassignment Care Compare group NPD
• Gulf Coast Health Center, Inc

  dba GCHC-Port Arthur Park Plaza Site

  • Federally Qualified Health Center (FQHC)
  • Port Arthur, TX
  • NPI 1578287389
  NPD
• Winnie Community Hospital LLC

  dba Riceland Pain Clinic

  • Interventional Pain Medicine Physician
  • Nederland, TX
  • NPI 1316623481
  NPD
• Winnie Community Hospital, L.L.C.

  dba Winnie Community Clinic

  • Emergency Medicine Physician
  • Winnie, TX
  • NPI 1548395213
  NPD
• Pioneer Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Port Arthur, TX
  • NPI 1780886150
  NPD (past)
• Winnie Community Hospital, L.L.C.

  dba Riceland Clinic

  • Primary Care Nurse Practitioner
  • Vidor, TX
  • NPI 1376937003

  Family

  NPD (past)

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

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - Jasper Memorial

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707
  Care Compare affiliation

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1265796676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 MEMORIAL BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402825",
            "telephone_number": "409-983-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 MEMORIAL BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402825",
            "telephone_number": "409-983-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "BROOKE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "694390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc (Sears Optical #C0174)
• Nicole Lee Maccallum, LPC
• Pooja Madan, DDS
• Jared Clark Mallory, P.T.
• Arnold O Manske, MD
• Rene Soan Manuel, P.T.
• Margaret Lang-Williams, MD PA
• Marian Tan Medical Group LTD LLP (The Childrens Health Center)
• Roy R Marrero Jr., MD
• Marsha E. Thigpen, MD

• Family Nurse Practitioner in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.