Regina Mary Brooks-Hall, APRN
Individual provider Active NPI Nurse Practitioner · Edgewood, KY
NPI 1417049404 · NPPES record last updated Dec 19, 2025
Key facts
- NPI
- 1417049404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3006374 (KY)
- Practice address
- 711 Medical Village Dr
Edgewood, KY 41017-3439 - Phone
- (859) 287-3045
- Fax
- (859) 578-3800
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Elizabeth Medical Center, Inc
Summit Medical Group Inc
Practice addresses (Care Compare)
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (859) 301-2465
711 Medical Village Dr
Edgewood, KY 41017-3439
Phone (859) 301-9010
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Florence
- St Elizabeth Ft Thomas
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
- 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 |
|---|---|---|---|---|
| I20110323000355 | KY | Practitioner - Nurse Practitioner | 1153359476 | Reassigns benefits to 2 organizations |
| I20240729002350 | IN | Practitioner - Nurse Practitioner | 1153359476 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001168260 | VA | MD | Registered Nurse |
| 71013431A | IN | MD | Nurse Practitioner |
| 3006374 | KY | MD | Nurse Practitioner |
| 0017138054 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Elizabeth Medical Center, Inc | Current |
Accepting new patients | |
| St Elizabeth Medical Center, Inc | Nurse Practitioner | Current |
Accepting new patients |
| Summit Medical Group, Inc. | Current |
Accepting new patients | |
| Summit Medical Group, Inc | Nurse Practitioner | Current |
Accepting new patients |
| Summit Medical Group, Inc | Nurse Practitioner | Current | Accepting new patients |
| Cardiology Consultants of Danville | Past |
Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
900 Medical Village Dr
Edgewood, KY 41017
Phone (859) 344-5501
711 Medical Village Dr
Edgewood, KY 41017
Phone (859) 287-3045
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.484907
- rbrookshall81210@direct-prd.stelizabeth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001168260 | VA | |
| Nurse Practitioner | 363L00000X | 0017138054 | VA | |
| Nurse Practitioner | 363L00000X | 3006374 | KY | Yes |
| Nurse Practitioner | 363L00000X | 71013431A | IN |
Addresses
Primary practice location
711 Medical Village Dr
Edgewood, KY 41017-3439
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 301-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100163060 | Medicaid | KY | |
| 3159844 | Medicaid | OH |
Other names
- Ms. Regina Mary Brooks
Other providers in Edgewood, KY
- Elizabeth P Bridges
- Kim Michelle Bridges
- Shawnee Brock
- Charlotte Marie Broeg
- Richard P. Broering Jr.
- Thomas Brossart
- April Brown
- Leah Brianna Brown
- Leslie Nicole Brown
- Sarah Brown
All providers in Edgewood, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2025. 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.