Individual provider Active NPI

Brooke M. Rummelhoff, PA-C

  • Physician Assistant
  • Iron River, MI
National Provider Identifier
1497942395
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
927 Riverside PLZ
Iron River, MI 49935-1529
Phone
(906) 265-2165
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MI Primary
Physician Assistant 363A00000X 085-002439 IL

Addresses

Primary practice location

927 Riverside PLZ
Iron River, MI 49935-1529

Mailing address

1400 W Ice Lake Rd
Iron River, MI 49935-9526
Phone (906) 265-6121

Other names 1

  • Brooke M. Mecher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150928001091 MI Practitioner - Physician Assistant 2062438559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 W Ice Lake Rd
Iron River, MI 49935-9526
Phone (906) 265-6121

814 S Ice Lake Rd
Iron River, MI 49935-9481
Phone (906) 265-0499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as group
Quality
89.76
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-002439ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Aug 31, 2015 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Aug 31, 2015 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

927 Riverside Plz
Iron River, MI 49935
Phone (906) 265-2165

814 S Ice Lake Rd
Iron River, MI 49935
Phone (715) 847-2022

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

Interoperability endpoints

  • Direct secure messaging: brummelhoff106682@direct.aspirus.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1497942395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W ICE LAKE RD",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499359526",
            "telephone_number": "906-265-6121",
            "fax_number": "906-265-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 RIVERSIDE PLZ",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499351529",
            "telephone_number": "906-265-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMMELHOFF",
        "first_name": "BROOKE",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-002439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "MECHER",
            "middle_name": "M.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iron River, MI

Sources for this page

Verify at the official NPI Registry.