NPIMap

Individual provider Active NPI

Brooke Leeann Haubrick, CRNP

  • Gerontology Nurse Practitioner
  • Lewistown, PA
National Provider Identifier
1376256115
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP026861 Issued in PA
Practice address
449 Summit Dr
Lewistown, PA 17044-1251
Phone
(717) 513-6354
NPI assigned
Dec 26, 2022
Last updated
Dec 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP026861 PA Primary

Addresses

Primary practice location

449 Summit Dr
Lewistown, PA 17044-1251

Mailing address

449 Summit Dr
Lewistown, PA 17044-1251
Phone (717) 513-6354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230307000318 PA Practitioner - Nurse Practitioner 7719350032 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bhome Medical Associates, PLLCGroup PAC ID 0446616890, 2 clinicians
Duane P DillingGroup PAC ID 7012954845, 5 clinicians

Practice addresses (Care Compare)

2230 Woodbury Pike
Suite 1
Loysburg, PA 16659-9506
Phone 71751363540

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duane P Dilling CurrentSince Feb 8, 2023 Accepting new patients
Bhome Medical Associates, PLLC CurrentSince Feb 28, 2023 Accepting new patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince Dec 21, 2023 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
#1
Loysburg, PA 16659
Phone (717) 513-6354

2230 Woodbury Pike
#2
Loysburg, PA 16659
Phone (814) 766-3485

2230 Woodbury Pike
Ste 2
Loysburg, PA 16659
Phone (814) 766-3485

113 June Dr
Roaring Spring, PA 16673
Phone (814) 224-2533

Interoperability endpoints

  • Direct secure messaging: brookehaubrickcrnp@coveair.medentdirect.com

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 10

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": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1376256115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 SUMMIT DR",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441251",
            "telephone_number": "717-513-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 SUMMIT DR",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441251",
            "telephone_number": "717-513-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUBRICK",
        "first_name": "BROOKE",
        "middle_name": "LEEANN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP026861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

Verify at the official NPI Registry.