Active NPI
Victoria E Brookshire, CFNP
- Family Nurse Practitioner
- Huber Heights, OH
National Provider Identifier
1275679961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA 06422-NP
- Practice address
- 8701 Old Troy Pike
Suite 20
Huber Heights, OH 45424-1066 - Phone
- (937) 233-7146
- Fax
- (937) 237-4776
- NPI assigned
- Jan 29, 2007
- Last updated
- Aug 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA 06422-NP | OH | Primary |
Addresses
Primary practice location
8701 Old Troy Pike
Suite 20
Huber Heights, OH 45424-1066
Mailing address
2912 Springboro Rd
Suite 201
Moraine, OH 45439-1674
Phone (937) 297-8999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000852321 | Other | OH | ANTHEM |
| 2850615 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6611 Clyo Rd B
Centerville, OH 45459-2785
Phone (937) 208-7465
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.23 of 100
- Quality
- 83.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA 06422-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Current | Accepting new patients | |
| Omak Tribal Health Clinic | Current | Accepting new patients | |
| Mvhe Inc | Current | Accepting new patients | |
| DHHS IHS Colville Service Unit | Current | Accepting new patients | |
| Mvhe Inc | Past | Accepting new patients |
Locations
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
6611 Clyo Rd
Ste B
Dayton, OH 45459
Phone (937) 208-7474
617 Benton St
Omak, WA 98841
Phone (509) 422-7416
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Moraine, OH
- NPI 1659504785
-
dba Colville Indian Health Center
- Clinic/Center
- Nespelem, WA
- NPI 1811091911
TX
-
dba DHHS IHS Colville Service Unit
- Clinic/Center
- Omak, WA
- NPI 1639210370
TX
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
dba Kettering Health Main Campus
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1275679961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2912 SPRINGBORO RD",
"address_2": "SUITE 201",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391674",
"telephone_number": "937-297-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 OLD TROY PIKE",
"address_2": "SUITE 20",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454241066",
"telephone_number": "937-233-7146",
"fax_number": "937-237-4776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKSHIRE",
"first_name": "VICTORIA",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "CFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA 06422-NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000852321",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2850615",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.