Individual provider Active NPI

Brandi Roxanne Brooks, CRNP

  • Family Nurse Practitioner
  • Erie, PA
National Provider Identifier
1629587159
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017915 Issued in PA
Practice address
5401 Peach St Ste 3400
Erie, PA 16509-2601
Phone
(814) 868-2200
Fax
(814) 868-2346
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017915 PA Primary

Addresses

Primary practice location

5401 Peach St Ste 3400
Erie, PA 16509-2601

Mailing address

5401 Peach St Ste 3400
Erie, PA 16509-2601
Phone (814) 868-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbrooks148729@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20171214001804 PA Practitioner - Nurse Practitioner 7416215736 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Practice addresses (Care Compare)

2315 Myrtle St
Suite 290
Erie, PA 16502-4609
Phone (814) 879-6636

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP017915PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Observation Group LLC CurrentSince Dec 1, 2023 Accepting new patients
Ahn Emergency Group of Erie County LTD. CurrentSince Apr 14, 2024 Accepting new patients
St Vincent Medical Education and Research Institute Inc CurrentSince Oct 30, 2017 Accepting new patients
Clinical Practice of Lecom Institute for Successful Living CurrentSince Sep 13, 2024 Accepting new patients
Clinical Practice of Lecom Institute for Successful Living CurrentSince Sep 13, 2024 Accepting new patients
Saint Vincent Medical Education and Research Institute Past Accepting new patients
Clinical Practice of Lecom Institute for Successful Living Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

5401 Peach St
Ste 3400
Erie, PA 16509
Phone (814) 868-2200

4950 Buffalo Rd
Erie, PA 16510
Phone (814) 898-2576

2315 Myrtle St
Ste 290
Erie, PA 16502
Phone (814) 454-1142

5401 Peach St
Erie, PA 16509
Phone (814) 868-2170

2315 Myrtle St
Erie, PA 16502
Phone (814) 452-2167

5535 Peach St
Erie, PA 16509
Phone (814) 868-3488

145 W 23rd St
Ste 101
Erie, PA 16502
Phone (814) 452-2767

1910 Sassafras St
Ste 100
Erie, PA 16502
Phone (814) 452-5772

9040 Wattsburg Rd
Erie, PA 16509
Phone (814) 737-0833

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

2240 E 38th St
Ste 200
Erie, PA 16510
Phone (814) 825-4262

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Interoperability endpoints

  • Direct secure messaging: bbrooks148729@direct.ahn.org
  • Direct secure messaging: bbrooks@lisl.medentdirect.com
  • Direct secure messaging: brandi.brooks.1@10044.direct.athenahealth.com

Organizations & group practices 7

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 1

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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1629587159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 PEACH ST STE 3400",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092601",
            "telephone_number": "814-868-2200",
            "fax_number": "814-868-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 PEACH ST STE 3400",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092601",
            "telephone_number": "814-868-2200",
            "fax_number": "814-868-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BRANDI",
        "middle_name": "ROXANNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbrooks148729@direct.ahn.org",
            "affiliation": "N",
            "address_1": "145 W 23rd St Ste 101",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165022858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.