Individual provider Active NPI

Brooke Nesmith, MD

  • Retina Specialist (Ophthalmology) Physician
  • Wichita, KS
National Provider Identifier
1295020667
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
04-39823 Issued in KS
Practice address
530 N Lorraine Ave Ste 200
Wichita, KS 67214-4837
Phone
(316) 683-5611
Fax
(316) 683-0294
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 04-39823 KS Primary

Addresses

Primary practice location

530 N Lorraine Ave Ste 200
Wichita, KS 67214-4837

Mailing address

530 N Lorraine Ave Ste 200
Wichita, KS 67214-4837
Phone (316) 683-5611

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bnesmith@vrcks.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170609000654 KS Practitioner - Ophthalmology 7012226285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitreo-Retinal Consultants and Surgeons PAGroup PAC ID 9133175607, 5 clinicians

Practice addresses (Care Compare)

530 N Lorraine Ave
Suite 200
Wichita, KS 67214-4837
Phone (316) 683-5611

Hospital & facility affiliations

  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-39823KSMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitreo-Retinal Consultants & Surgeons PA Retina Specialist CurrentSince Aug 14, 2017 Accepting new patients
Eyecare Associates of Salina, LLC PastSince Oct 15, 2007 Accepting new patients

Locations

502 College Dr
Garden City, KS 67846
Phone (316) 275-7248

501 Main St
Parsons, KS 67357
Phone (316) 421-5270

900 Westchester Dr
Salina, KS 67401
Phone (785) 823-0659

530 N Lorraine Ave
Ste 200
Wichita, KS 67214
Phone (316) 683-5611

530 N Lorraine Ave
Wichita, KS 67214
Phone (316) 683-5611

Organizations & group practices 2

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 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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1295020667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N LORRAINE AVE STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144837",
            "telephone_number": "316-683-5611",
            "fax_number": "316-683-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N LORRAINE AVE STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144837",
            "telephone_number": "316-683-5611",
            "fax_number": "316-683-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESMITH",
        "first_name": "BROOKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KS",
            "license": "04-39823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bnesmith@vrcks.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "530 N Lorraine Ave Ste 200",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672144837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.