Brooke Nicole Tims, RN, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R868828 Issued in MS

Practice address

810 E Sunflower Rd Ste 100a
Cleveland, MS 38732-2828

Phone

(662) 843-3606

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bolivar Physician Practices LLCGroup PAC ID 6305995895, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bolivar Medical Center Hospital, Cleveland, MS, CCN 250093

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brooke.tims.1@10381.direct.athenahealth.com

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.

• Bolivar Physician Practices LLC

  • Orthopaedic Surgery Physician
  • Cleveland, MS
  • NPI 1063659530
  Medicare reassignment Care Compare group NPD
• Delta Medical Group

  • Emergency Medicine Physician
  • Greenville, MS
  • NPI 1790701134
  Medicare reassignment NPD
• Bolivar Physician Practices LLC

  • Rural Health Clinic/Center
  • Rosedale, MS
  • NPI 1205489689
  NPD
• Bolivar Physician Practices LLC

  • Family Medicine Physician
  • Cleveland, MS
  • NPI 1376787556
  NPD
• Bolivar Physician Practices LLC

  • Family Medicine Physician
  • Cleveland, MS
  • NPI 1043454655
  NPD (past)
• Bolivar Physician Practices LLC

  • Urology Physician
  • Cleveland, MS
  • NPI 1316388416
  NPD (past)
• Delta Physician Practices

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1598086639
  NPD (past)

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

• PHC-Cleveland LLC

  • General Acute Care Hospital
  • Cleveland, MS
  • NPI 1457321036
  Care Compare affiliation

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1477575561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD STE 100A",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322828",
            "telephone_number": "662-843-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD STE 100A",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322828",
            "telephone_number": "662-843-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMS",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "credential": "RN, CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R868828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05983815",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Morgan Tharp, M.ED.
• The Medical Technology Institute
• Therapy Innovations, Inc
• Tibbs Clinic
• Robert C Tibbs III, M.D.
• Raanne Tindle, DMD
• TLL&W Inc Dba Buckleys Pharmacy
• Jacqueline Todd, M.A.
• Roger Douglas Tollison, ATC
• Trinity Health Clinic

• Family Nurse Practitioner in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.