NPIMap

Individual provider Active NPI

Brooke Nicole McPeak, FNP-C

  • Family Nurse Practitioner
  • El Dorado Springs, MO
National Provider Identifier
1326800335
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024002082 Issued in MO
Practice address
1401 S Park St
El Dorado Springs, MO 64744-2037
Phone
(417) 876-2511
Fax
(417) 876-3812
NPI assigned
Jan 25, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 2024002082 MO Primary

Addresses

Primary practice location

1401 S Park St
El Dorado Springs, MO 64744-2037

Mailing address

1401 S Park St
El Dorado Springs, MO 64744-2037
Phone (417) 876-2511

Other practice location 1

807 Owens Mill Rd
Stockton, MO 65785-8359
Phone (417) 276-5500

Other practice location 2

1317 S State Highway 32
El Dorado Springs, MO 64744-2302
Phone (417) 876-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215002487 MO Practitioner - Nurse Practitioner 5294179404 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar County Memorial HospitalGroup PAC ID 7315841129, shared by 5 NPIs, 20 clinicians

Practice addresses (Care Compare)

1317 S State Hwy 32
CCMH Medical Mall Clinic
El Dorado Springs, MO 64744-2302
Phone (417) 876-3333

1401 S Park St
El Dorado, MO 64744-2037
Phone (417) 876-2511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar County Memorial Hospital CurrentSince Feb 1, 2024 Accepting new patients
Cedar County Memorial Hospital CurrentSince Feb 1, 2024 Accepting new patients
Cedar County Memorial Hospital CurrentSince Feb 1, 2024 Accepting new patients
Cedar County Memorial Hospital CurrentSince Feb 1, 2024 Accepting new patients
Cedar County Memorial Hospital Past Accepting new patients
Cedar County Memorial Hospital Past Accepting new patients

Locations

1317 S State Highway 32
El Dorado Springs, MO 64744
Phone (417) 876-3333

1401 S Park St
El Dorado Springs, MO 64744
Phone (417) 876-2511

807 Owens Mill Rd
Stockton, MO 65785
Phone (417) 276-5500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1326800335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S PARK ST",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647442037",
            "telephone_number": "417-876-2511",
            "fax_number": "417-876-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S PARK ST",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647442037",
            "telephone_number": "417-876-2511",
            "fax_number": "417-876-3812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Owens Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "MO",
            "postal_code": "657858359",
            "country_code": "US",
            "telephone_number": "417-276-5500",
            "fax_number": "417-876-3812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1317 S State Highway 32",
            "address_purpose": "LOCATION",
            "city": "El Dorado Springs",
            "state": "MO",
            "postal_code": "647442302",
            "country_code": "US",
            "telephone_number": "417-876-3333",
            "fax_number": "417-876-4509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPEAK",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024002082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Springs, MO

Sources for this page

Verify at the official NPI Registry.