Brook H. Roberts, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

111346 Issued in OK

Practice address

629 S Plummer Ave
Chanute, KS 66720

Phone

(620) 431-4000

Fax

(620) 431-7556

NPI assigned

Feb 23, 2011

Last updated

Aug 19, 2018By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Colleagues KS PAGroup PAC ID 3870921984, 44 clinicians

Ukhs Great Bend LLCGroup PAC ID 5597016378, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of KS HLTH System Great Bend Campus Hospital, Great Bend, KS, CCN 170191
• Neosho Memorial Regional Medical Center Hospital, Chanute, KS, CCN 171380

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Ukhs Great Bend, LLC

  dba Central Kansas Orthopedic Group

  • Multi-Specialty Clinic/Center
  • Great Bend, KS
  • NPI 1962997197
  Medicare reassignment Care Compare group NPD
• Clinical Colleagues KS PA

  • Anesthesiology Physician
  • Chanute, KS
  • NPI 1548813967
  Medicare reassignment Care Compare group
• Labette County Medical Center

  dba LCMC ER Physician Group

  • Family Medicine Physician
  • Parsons, KS
  • NPI 1336133362
  Medicare reassignment NPD
• Labette County Medical Center

  dba Labette Health Pittsburg Clinic

  • Rural Health Clinic/Center
  • Pittsburg, KS
  • NPI 1205524113
  NPD
• Labette County Medical Center

  dba Specialty Group of Labette Health

  • Anesthesiology Physician
  • Parsons, KS
  • NPI 1811981293
  NPD
• Kansas University Physicians Inc

  dba KU Anesthesiology

  • Anesthesiology Physician
  • Kansas City, KS
  • NPI 1750459657
  NPD (past)

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

• Neosho Memorial Regional Medical Center

  dba NMRMC Women's Health Center

  • Medical Specialty Clinic/Center
  • Chanute, KS
  • NPI 1023251469

  Hospital

  Care Compare affiliation
• Neosho Memorial Regional Medical Center

  • Critical Access Hospital
  • Chanute, KS
  • NPI 1073566949
  Care Compare affiliation
• Neosho Memorial Regional Medical Center

  dba NMRMC Orthopedic Clinic

  • Orthopaedic Surgery Physician
  • Chanute, KS
  • NPI 1619261211

  Hospital

  Care Compare affiliation
• Ukhs Great Bend, LLC

  dba The University of Kansas Health System Great Bend Campus

  • General Acute Care Hospital
  • Great Bend, KS
  • NPI 1548750417
  Care Compare affiliation

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1629375977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 OSA MARTIN BLVD",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201830",
            "telephone_number": "316-833-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "66720",
            "telephone_number": "620-431-4000",
            "fax_number": "620-431-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BROOK",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-23",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557008",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "111346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renal Care Group of the Midwest, Inc. (Renal Care Group Chanute)
• Renewed Strength, LLC
• Dana Renee Rhodes, APRN-CNM
• Gregg Alan Rickabaugh, CRNA
• Gladys Glase Garin Rind, PT
• John Jason Robinson, M.D.
• Joann Russell, PA-C
• Shelby Sale
• Tracy E Sambo, MD
• Jessica Dawn Schaaf, DPT

• Certified Registered Nurse Anesthetist in Chanute, KS
• Providers in Chanute, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.