Brooke R Minerick, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704246967 Issued in MI

Practice address

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637

Phone

(906) 776-5457

Fax

(906) 776-5488

NPI assigned

Feb 6, 2012

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sleepsmith Staffing LLCGroup PAC ID 8325320369, 4 clinicians

Hospitalist Medicine Physicians of Michigan-Alpena PLLCGroup PAC ID 6406260124, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshfield Medical Center Hospital, Iron Mountain, MI, CCN 231342
• Dickinson County Memorial Hospital Hospital, Iron Mountain, MI, CCN 230055

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sleepsmith Staffing LLC

  • Certified Registered Nurse Anesthetist
  • Flint, MI
  • NPI 1114463379

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Michigan-Alpena PLLC

  • Anesthesiology Physician
  • Brentwood, TN
  • NPI 1043818156

  MI

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dickinson County Healthcare System

  dba Marshfield Medical Center - Dickinson

  • Critical Access Hospital
  • Iron Mountain, MI
  • NPI 1841188604
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1356613400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498010370",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013637",
            "telephone_number": "906-776-5457",
            "fax_number": "906-776-5488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Carpenter Ave",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "498014725",
            "country_code": "US",
            "telephone_number": "800-428-8149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINERICK",
        "first_name": "BROOKE",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704246967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Micheau
• Michigan-Wisconsin Family Practice Associates, P.C.
• Michigan-Wisconsin Family Practice Associates, P.C.
• Andrea L Millan, CRD CD REGISTERED CE
• Pamela Noel Miller
• Rajesh Mital, MD
• Daniel M Mitchell, M.D.
• Vanessa Hope Mitchell, PA-C
• Kate Moddie
• Rebecca Ann Moddie

• Certified Registered Nurse Anesthetist in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.