Individual provider Active NPI

Brooke Henning, APRN, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Larned, KS
National Provider Identifier
1497512834
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-82344-101 Issued in KS
Practice address
1301 K264 Hwy
Larned, KS 67550-5353
Phone
(620) 804-0189
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-82344-101 KS Primary

Addresses

Primary practice location

1301 K264 Hwy
Larned, KS 67550-5353

Mailing address

1301 K264 Hwy
Larned, KS 67550-5353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20240604000146 KS Practitioner - Nurse Practitioner 4183166309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kansas School of Med (KC/Wich/Sal), 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Kansas-Accounting ServicesGroup PAC ID 2961395140, 12 clinicians

Practice addresses (Care Compare)

1301 KS Hwy 264
Larned, KS 67550-5353
Phone (620) 285-2131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-82344-101KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Kansas CurrentSince Apr 28, 2024 Accepting new patients
State of Kansas-Accounting Services CurrentSince Apr 28, 2024 Accepting new patients

Locations

1301 KS Highway 264
Larned, KS 67550
Phone (620) 285-2131

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e13c1e21-bd04-471c-b46a-cb74f87dcaaa/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1497512834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 K264 HWY",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675505353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 K264 HWY",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675505353",
            "telephone_number": "620-804-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNING",
        "first_name": "BROOKE",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-82344-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larned, KS

Sources for this page

Verify at the official NPI Registry.