Active NPI
Erin Grace Brooks, APRN
- Family Nurse Practitioner
- Merritt Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11012686
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11012686 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Care LLC | Current | Accepting new patients | |
| My Vital View, LLC | Current | 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
- erin.brooks.1@23154.direct.athenahealth.com
- 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.
-
- Primary Care Clinic/Center
- Merritt Island, FL
- NPI 1801252457
-
- Multi-Specialty Clinic/Center
- Indian Harbour Beach, FL
- NPI 1528602794
-
- Community/Retail Pharmacy
- Merritt Island, FL
- NPI 1366511602
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.