Brooke Buckentine Simones, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11322 Issued in MN

Practice address

424 W State Highway 5
Waconia, MN 55387-1795

Phone

(952) 442-4461

Fax

(952) 442-1547

NPI assigned

Aug 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Brooke Chandra Buckentine Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glencoe Regional Health ServicesGroup PAC ID 1759292980, 45 clinicians

Lakeview Clinic, LTD.Group PAC ID 6002801453, 52 clinicians

Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ridgeview Medical Center Hospital, Waconia, MN, CCN 240056
• Glencoe Regional Health Hospital, Glencoe, MN, CCN 241355

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bsimones65151@excellian.direct.allina.com
• Direct secure messaging: brookesimones@tv.allscriptsdirect.net

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.

• Glencoe Regional Health Services

  • Critical Access Hospital
  • Glencoe, MN
  • NPI 1508885633
  Medicare reassignment Care Compare group NPD
• Lakeview Clinic, LTD.

  • Multi-Specialty Clinic/Center
  • Waconia, MN
  • NPI 1669599981
  Medicare reassignment Care Compare group
• Ridgeview Medical Center

  • Certified Registered Nurse Anesthetist
  • Waconia, MN
  • NPI 1528364429
  Medicare reassignment Care Compare group
• County of Meeker

  • Rural Health Clinic/Center
  • Litchfield, MN
  • NPI 1083221816
  Medicare reassignment NPD
• Minnesota Valley Health Center Inc

  • Critical Access Hospital
  • Le Sueur, MN
  • NPI 1730248907
  Medicare reassignment NPD
• Sibley Medical Center

  • Critical Access Hospital
  • Arlington, MN
  • NPI 1740240225
  Medicare reassignment NPD
• Fairview Express Care

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1053952606
  Medicare reassignment
• County of Meeker

  • Medicare Defined Swing Bed Hospital Unit
  • Litchfield, MN
  • NPI 1578718482
  NPD
• Fairview Express Care

  • Family Medicine Physician
  • Burnsville, MN
  • NPI 1700258688
  NPD
• Fairview Express Care

  • General Practice Physician
  • Edina, MN
  • NPI 1831707207
  NPD
• Glencoe Regional Health Services

  • Durable Medical Equipment & Medical Supplies
  • Glencoe, MN
  • NPI 1518074632
  NPD
• Ridgeview Medical Center

  • Urgent Care Clinic/Center
  • Chanhassen, MN
  • NPI 1558142869
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Glencoe Regional Health Services

  • Critical Access Hospital
  • Glencoe, MN
  • NPI 1508885633
  Care Compare affiliation
• Ridgeview Medical Center

  • General Acute Care Hospital
  • Waconia, MN
  • NPI 1275608457
  Care Compare affiliation
• Ridgeview Medical Center

  • General Acute Care Hospital
  • Chaska, MN
  • NPI 1710748538
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1437437845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W STATE HIGHWAY 5",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871795",
            "telephone_number": "952-442-4461",
            "fax_number": "952-442-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W STATE HIGHWAY 5",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871795",
            "telephone_number": "952-442-4461",
            "fax_number": "952-442-1547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110105 Pioneer Trl W",
            "address_purpose": "LOCATION",
            "city": "Chaska",
            "state": "MN",
            "postal_code": "553182680",
            "country_code": "US",
            "telephone_number": "952-556-0120",
            "fax_number": "952-556-0121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Faxon Rd N",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MN",
            "postal_code": "553689507",
            "country_code": "US",
            "telephone_number": "952-467-2888",
            "fax_number": "952-467-3258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 Territorial St E",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MN",
            "postal_code": "553889284",
            "country_code": "US",
            "telephone_number": "952-955-1921",
            "fax_number": "952-955-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONES",
        "first_name": "BROOKE",
        "middle_name": "BUCKENTINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BUCKENTINE",
            "middle_name": "CHANDRA",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Joseph Sharp, PA-C
• Ashley Lynn Sharpe
• Payton Sheridan
• Jill Shipley, RPH
• Jane Sieve
• Sidni Simons, PT
• Andrea Simonson, MA, LMFT
• Kevin Sipprell, M.D.
• Ashley Sivanich, PA
• Nicole Ann Skaro, BA, PEND MPH, CPPS

• Physician Assistant in Waconia, MN
• Providers in Waconia, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.

Verify at the official NPI Registry.