Individual provider Active NPI

Brooke Lynn Plooster, CNP

  • Family Nurse Practitioner
  • Wagner, SD
National Provider Identifier
1336924612
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP002940 Issued in SD
Practice address
513 3Rd St SW
Wagner, SD 57380-9675
Phone
(605) 384-3611
Fax
(605) 384-5240
NPI assigned
Aug 25, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 CP002940 SD Primary

Addresses

Primary practice location

513 3Rd St SW
Wagner, SD 57380-9675

Mailing address

513 3Rd St SW
Wagner, SD 57380-9675
Phone (605) 384-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20230919003319 SD Practitioner - Nurse Practitioner 4981068202 Reassigns benefits to 2 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
Wagner Community Memorial HospitalGroup PAC ID 3577459700, shared by 3 NPIs, 17 clinicians

Practice addresses (Care Compare)

513 3Rd St SW
Wagner, SD 57380-9675
Phone (605) 384-3418

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.55 of 100Reported as group
Quality
66.54
Promoting interoperability
100
Improvement activities
40
Cost
45.26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Community Memorial Hospital CurrentSince Sep 1, 2023 Accepting new patients
Wagner Community Memorial Hospital CurrentSince Sep 1, 2023 Accepting new patients
Wagner Community Memorial Hospital Family Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brooke.plooster@avera.sdhealthlink.net

Organizations & group practices 3

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 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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1336924612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 3RD ST SW",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "573809675",
            "telephone_number": "605-384-3611",
            "fax_number": "605-384-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 3RD ST SW",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "573809675",
            "telephone_number": "605-384-3611",
            "fax_number": "605-384-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOOSTER",
        "first_name": "BROOKE",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagner, SD

Sources for this page

Verify at the official NPI Registry.