Individual provider Active NPI

Erin Grace Brooks, APRN

  • Family Nurse Practitioner
  • Merritt Island, FL
National Provider Identifier
1396319935
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11012686 Issued in FL
Practice address
2400 N Courtenay Pkwy Ste 100
Merritt Island, FL 32953-4127
Phone
(321) 985-9097
Fax
(321) 301-4869
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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 11012686 FL Primary

Addresses

Primary practice location

2400 N Courtenay Pkwy Ste 100
Merritt Island, FL 32953-4127

Mailing address

512 Grant Ave Apt a
Satellite Beach, FL 32937-2983
Phone (321) 243-5181

Other names 1

  • Erin Grace Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210727000914 FL Practitioner - Nurse Practitioner 8224439609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Complete Care LLCGroup PAC ID 8123326113, 8 clinicians

Practice addresses (Care Compare)

2400 N Courtenay Pkwy
Suite 100
Merritt Island, FL 32953-4127
Phone (321) 985-9097

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11012686FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care LLC CurrentSince Jul 20, 2021 Accepting new patients
My Vital View, LLC CurrentSince Jul 19, 2022 Accepting new patients
Hobbs Pharmacy United Incorporated Past Accepting new patients

Locations

465 Minutemen Cswy
Unit 455
Cocoa Beach, FL 32931
Phone (866) 389-7601

2194 Highway A1A
Ste 107
Indian Harbour Beach, FL 32937
Phone (321) 241-4551

2400 N Courtenay Pkwy
Ste 100
Merritt Island, FL 32953
Phone (321) 784-8211

119 N Banana River Dr
Merritt Island, FL 32952
Phone (321) 452-0010

590 Malabar Rd SE
Ste 7
Palm Bay, FL 32907
Phone (321) 676-3535

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: erin.brooks.1@23154.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23154/brand/1/csg/1/fhir/r4

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 1

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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1396319935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 GRANT AVE APT A",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372983",
            "telephone_number": "321-243-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N COURTENAY PKWY STE 100",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534127",
            "telephone_number": "321-985-9097",
            "fax_number": "321-301-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ERIN",
        "middle_name": "GRACE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SMITH",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.