Active NPI
Brooke Elise Nasser, FNP
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71010968A
- Practice address
- 5926 Crawfordsville Rd Unit B
Indianapolis, IN 46224-3722 - Phone
- (317) 268-5741
- NPI assigned
- Nov 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28229877A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71010968A | IN | Primary |
Addresses
Primary practice location
5926 Crawfordsville Rd Unit B
Indianapolis, IN 46224-3722
Mailing address
6784 Shooting Star Dr
Whitestown, IN 46075-6213
Phone (812) 236-2204
Other practice location 1
550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 948-3967
Other names 1
- Brooke Elise Humphrey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5926 Crawfordsville Rd
B
Speedway, IN 46224-3722
Phone (317) 653-2730
Hospital & facility affiliations
- Indiana University Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28229877A | IN | MD | Registered Nurse |
| 71010968A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh-in Physicians Group, PC | Family | Current | Accepting new patients |
| Oak Street Health Physicians Group, PC | Family | Past | Accepting new patients |
Locations
5926 Crawfordsville Rd
Indianapolis, IN 46224
Phone (317) 653-2730
5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1295339208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6784 SHOOTING STAR DR",
"city": "WHITESTOWN",
"state": "IN",
"postal_code": "460756213",
"telephone_number": "812-236-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5926 CRAWFORDSVILLE RD UNIT B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462243722",
"telephone_number": "317-268-5741"
}
],
"practiceLocations": [
{
"address_1": "550 University Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025149",
"country_code": "US",
"telephone_number": "317-948-3967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASSER",
"first_name": "BROOKE",
"middle_name": "ELISE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28229877A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71010968A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "HUMPHREY",
"middle_name": "ELISE",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.