Individual provider Active NPI

Nadine Brooks, FNP-BC

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1275229528
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224792 Issued in AZ
Practice address
6710 N 47TH Ave
Glendale, AZ 85301-4121
Phone
(833) 224-5538
Fax
(833) 424-5538
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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 224792 AZ Primary

Addresses

Primary practice location

6710 N 47TH Ave
Glendale, AZ 85301-4121

Mailing address

11833 W Nadine Way
Peoria, AZ 85383-4522
Phone (760) 524-6775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230602002385 AZ Practitioner - Nurse Practitioner 8729445945 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Link Medical IncGroup PAC ID 1759657604, 7 clinicians

Practice addresses (Care Compare)

6710 N 47TH Ave
Suite 4
Glendale, AZ 85301-4111
Phone (833) 224-5538

Hospital & facility affiliations

  • Billet Home Health Inc- Peoria Home health agency, Peoria, AZ, CCN 037437
  • Meridian Healthcare Providers, Inc. Home health agency, Phoenix, AZ, CCN 037250
  • Emblem Home Health Phoenix Home health agency, Phoenix, AZ, CCN 037438
  • Grace Home Health Care Home health agency, Mesa, AZ, CCN 037273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Link Medical Inc CurrentSince May 23, 2023 Accepting new patients
Link Medical Inc CurrentSince May 23, 2023 Accepting new patients
Vitality Foot and Ankle Institute PLLC Nurse Practitioner CurrentSince Oct 14, 2023 Accepting new patients
Kmtrask, PLLC Nurse Practitioner CurrentSince Jun 1, 2023 Accepting new patients
Empire Advanced Medical Services LLC PastSince Apr 16, 2023 Accepting new patients

Locations

1555 Ramar Rd
Bullhead City, AZ 86442
Phone (702) 960-6930

2200 E Williams Field Rd
Ste 200
Gilbert, AZ 85295
Phone (480) 452-3399

6710 N 47th Ave
Ste 4
Glendale, AZ 85301

6710 N 47th Ave
Glendale, AZ 85301
Phone (323) 717-7707

6710 N 47th Ave
Ste 8
Glendale, AZ 85301
Phone (623) 842-3077

26900 N Lake Pleasant Pkwy
Ste 202
Peoria, AZ 85383
Phone (623) 254-7111

Interoperability endpoints

  • Direct secure messaging: nadine.brooks@583211441192964.direct.elationemr.com
  • Direct secure messaging: nadine.brooks@71082555932676.direct.elationemr.com

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 4

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": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1275229528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11833 W NADINE WAY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834522",
            "telephone_number": "760-524-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 N 47TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853014121",
            "telephone_number": "833-224-5538",
            "fax_number": "833-424-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "NADINE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "224792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.