Brooke Dirksen, CNP

Individual provider Active NPI Nurse Practitioner · Sioux Falls, SD

NPI 1609157189 · NPPES record last updated Aug 24, 2025

Key facts

NPI
1609157189
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
CP000662 (SD)
Practice address
1508 W 22ND St Ste 101
Sioux Falls, SD 57105-1514
Phone
(605) 328-3841
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120109000733 SD Practitioner - Nurse Practitioner 3173799467 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP000662SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Current
since Feb 1, 2012
Accepting new patients
Sanford Medical Center Nurse Practitioner Current
since Feb 1, 2012
Accepting new patients
Sanford Health Network Nurse Practitioner Current Accepting new patients
Sanford Clinic Current
since Dec 12, 2011
Accepting new patients
Sanford Clinic Nurse Practitioner Current Accepting new patients
Sanford Health Network Current
since Feb 1, 2013
Accepting new patients
Sanford Health Network Nurse Practitioner Current
since Feb 1, 2013
Accepting new patients
Sanford Clinic Current
since Dec 12, 2011
Accepting new patients
Sanford Health Network Past Accepting new patients

Locations

400 N Hiawatha Dr
Canton, SD 57013
Phone (605) 764-1500

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1508 W 22nd St
Ste 101
Sioux Falls, SD 57105
Phone (605) 328-3840

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X CP000662 SD
Nurse Practitioner 363L00000X CP000662 SD Yes

Addresses

Primary practice location

1508 W 22ND St Ste 101
Sioux Falls, SD 57105-1514

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9419

Other names

  • Brooke Brusseau Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 24, 2025.

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1609157189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W 22ND ST STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051514",
            "telephone_number": "605-328-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKSEN",
        "first_name": "BROOKE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SD",
            "license": "CP000662",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BRUSSEAU",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Nurse Practitioner in South Dakota

Sources for this page

Verify at the official NPI Registry.