Brooke Leeann Haubrick, CRNP
Individual provider Active NPI Gerontology Nurse Practitioner · Lewistown, PA
NPI 1376256115 · NPPES record last updated Dec 26, 2022
Key facts
- NPI
- 1376256115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- SP026861 (PA)
- Practice address
- 449 Summit Dr
Lewistown, PA 17044-1251 - Phone
- (717) 513-6354
- NPI assigned
- Dec 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bhome Medical Associates, PLLC
Duane P Dilling
Practice addresses (Care Compare)
2230 Woodbury Pike
Suite 1
Loysburg, PA 16659-9506
Phone 71751363540
Hospital & facility affiliations
- Upmc Home Healthcare of Central Pennsylvania
- Medi Home Health Agency
- Conemaugh Nason Medical Center
- Mount Nittany Medical Center
- Upmc Bedford Memorial
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230307000318 | PA | Practitioner - Nurse Practitioner | 7719350032 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP026861 | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane P Dilling | Current |
Accepting new patients | |
| Clearfield-Jefferson Primary Care Associates PC | Current |
Accepting new patients | |
| Bhome Medical Associates, PLLC | Current |
Accepting new patients |
Locations
33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990
208 Pennknoll Rd
Everett, PA 15537
Phone (814) 623-3200
2230 Woodbury Pike
#2
Loysburg, PA 16659
Phone (814) 766-3485
2230 Woodbury Pike
Ste 2
Loysburg, PA 16659
Phone (814) 766-3485
2230 Woodbury Pike
#1
Loysburg, PA 16659
Phone (717) 513-6354
113 June Dr
Roaring Spring, PA 16673
Phone (814) 224-2537
Interoperability endpoints
- brookehaubrickcrnp@coveair.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP026861 | PA | Yes |
Addresses
Primary practice location
449 Summit Dr
Lewistown, PA 17044-1251
Mailing address
449 Summit Dr
Lewistown, PA 17044-1251
Phone (717) 513-6354
Other providers in Lewistown, PA
- Mehmet C Harmanci
- Lindsey Leigh Harper
- Stephanie Harshbarger
- Danielle Hartley
- Lacey Lynne Hartman
- Alexander Hawson
- Gabrielle Jayne Hayward
- Joanne Heffner
- Klayton Ryan Heffner
- Ashlyn L Heidel
All providers in Lewistown, PA · Gerontology Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.