Racheal Brooker, NP – Family Nurse Practitioner

Key facts

NPI: 1457766628
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 4704222048 (MI)
Practice address: 9090 S Rodgers CT SE
Caledonia, MI 49316-8052
Phone: (616) 891-0422
NPI assigned: Jun 26, 2014
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Hastings Internal Medicine PLC Internal Medicine Physician · Hastings, MI · NPI 1598968729

Medicare reassignment Care Compare group NPD MI

Hospital & facility affiliations 2

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

Pennock Hospital Critical Access Hospital · Hastings, MI · NPI 1932695525

Care Compare affiliation Hospital
Spectrum Health Hospitals General Acute Care Hospital · Grand Rapids, MI · NPI 1922090554

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Michigan State University College of Human Medicine, 2014
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Hastings Internal Medicine PLC (4 clinicians)

Practice addresses (Care Compare)

225 S M 37 Hwy
Suite 1
Hastings, MI 49058-9676
Phone (269) 948-0078

Hospital & facility affiliations

Corewell Health Pennock Hospital Hospital · Hastings, MI · CCN 231339
Spectrum Health Hospital · Grand Rapids, MI · CCN 230038

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI
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
I20150921003038	MI	Practitioner - Nurse Practitioner	6507173713	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Hastings Internal Medicine PLC		Current since Mar 1, 2019	Accepting new patients

Locations

225 S M 37 Hwy
#1
Hastings, MI 49058
Phone (269) 948-0078

1005 W Green St
Ste 202
Hastings, MI 49058
Phone (269) 948-0078

Interoperability endpoints

FHIR API: https://fhir4.healow.com/fhir/r4/BBFDAA

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	4704222048	MI	Yes

Addresses

Primary practice location

9090 S Rodgers CT SE
Caledonia, MI 49316-8052

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790

Other providers in Caledonia, MI

All providers in Caledonia, MI · Family Nurse Practitioner in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2017. 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.

Verify at the official NPI Registry.