Dustin Brooks

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209019082 Issued in IL

Practice address

127 Stewart St
East Peoria, IL 61611-2613

Phone

(309) 678-7422

NPI assigned

Aug 7, 2019

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

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 IL

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment Care Compare group NPD
• Best Practices Inpatient Care, LTD.

  • Internal Medicine Physician
  • Barrington, IL
  • NPI 1619913522
  Medicare reassignment NPD
• Radial Health SC

  dba Rehabilitation Medicine Specialists

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1215954185
  Medicare reassignment NPD
• Best Practices Inpatient Care, LTD

  • Internal Medicine Physician
  • Barrington, IL
  • NPI 1265755664
  NPD
• Best Practices Inpatient Care,LTD

  • Internal Medicine Physician
  • Wyoming, MI
  • NPI 1417240946
  NPD
• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568017333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 STEWART ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 STEWART ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112613",
            "telephone_number": "309-678-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-07",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209019082",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Boncu
• John A Brackney
• Kmisha Brand, RN, MSN, FNP-BC
• Bravo Care of East Peoria Inc (Rosewood Care Center of East Peoria)
• Morgan Elizabeth Brockhouse, DMD
• Reka Brooks
• Dustin Robert Brown, PT, DPT, ATC, LAT
• Rachel Brunetto
• Robert David Buechner, DC
• Staci A Burris, PTA

• Family Nurse Practitioner in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.