Active NPI
Brooke Heiple, CRNP
- Acute Care Nurse Practitioner
- Johnstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SO020421
- Practice address
- 16 Rose Street
Johnstown, PA 15905-4327 - Phone
- (814) 539-0257
- Fax
- (814) 536-0963
- NPI assigned
- Jul 3, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP020421 | PA | |
| Primary Care Nurse Practitioner | 363LP2300X | SP020421 | PA | |
| Acute Care Nurse Practitioner | 363LA2100X | SO020421 | PA | Primary |
Addresses
Primary practice location
16 Rose Street
Johnstown, PA 15905-4327
Mailing address
16 Rose Street
Johnstown, PA 15905-4327
Phone (814) 539-0257
Other practice location 1
104 Railroad St
Bedford, PA 15522-1013
Phone (814) 263-5804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP020421 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SO020421 | PA | MD | Acute Care Nurse Practitioner |
| SP020421 | PA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Nurse Practitioner | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Nurse Practitioner | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
1450 Scalp Ave
Ste 302
Johnstown, PA 15904
Phone (814) 262-2444
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
Organizations & group practices 4
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.
-
dba Conemaugh Physician Group Cresson
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
dba Conemaugh Physician Group
- Internal Medicine Physician
- Johnstown, PA
- NPI 1144636267
Nurse Practitioner
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
Nurse Practitioner
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1467014050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ROSE STREET",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054327",
"telephone_number": "814-539-0257",
"fax_number": "814-536-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 ROSE STREET",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054327",
"telephone_number": "814-539-0257",
"fax_number": "814-536-0963"
}
],
"practiceLocations": [
{
"address_1": "104 Railroad St",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "PA",
"postal_code": "155221013",
"country_code": "US",
"telephone_number": "814-263-5804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIPLE",
"first_name": "BROOKE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP020421",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP020421",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SO020421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SP020421",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.