Individual provider Active NPI

Brooke Arleen Vance, APRN-NP

  • Acute Care Nurse Practitioner
  • Gering, NE
National Provider Identifier
1386018638
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
111944 Issued in NE
Practice address
975 Crescent Dr
Gering, NE 69341-1712
Phone
(308) 632-2540
Fax
(308) 633-2650
NPI assigned
Nov 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111944 NE
Acute Care Nurse Practitioner 363LA2100X 111944 NE Primary

Addresses

Primary practice location

975 Crescent Dr
Gering, NE 69341-1712

Mailing address

975 Crescent Dr
Gering, NE 69341-1712
Phone (308) 632-2540

Other names 1

  • Brooke Arleen Borgman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20160128002369 NE Practitioner - Nurse Practitioner 6800199506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Action Partnership of Western NebraskaGroup PAC ID 2860399714, 18 clinicians

Practice addresses (Care Compare)

975 Crescent Dr
Gering, NE 69341-1712
Phone (308) 632-2540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111944NEMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Partnership of Western Nebraska CurrentSince Jun 20, 2022 Accepting new patients
Regional West Physicians Clinic CurrentSince Jan 10, 2016 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

975 Crescent Dr
Gering, NE 69341
Phone (308) 632-2540

3350 10th St
Gering, NE 69341
Phone (308) 632-2540

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181

Interoperability endpoints

  • Direct secure messaging: brooke.borgman.p1@direct.capwn.nextgenshare.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 and National Provider Directory roles.

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": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1386018638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 CRESCENT DR",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411712",
            "telephone_number": "308-632-2540",
            "fax_number": "308-633-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 CRESCENT DR",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411712",
            "telephone_number": "308-632-2540",
            "fax_number": "308-633-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "BROOKE",
        "middle_name": "ARLEEN",
        "name_prefix": "Mrs.",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111944",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "111944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BORGMAN",
            "middle_name": "ARLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gering, NE

Sources for this page

Verify at the official NPI Registry.