Individual provider Active NPI

Brooke Suzette Humphrey, FNP-BC

  • Family Nurse Practitioner
  • Arvada, CO
National Provider Identifier
1669718201
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0990515 Issued in CO
Practice address
6816 W 8TH Circle
Arvada, CO 80003-1139
Phone
(720) 500-5488
NPI assigned
Jan 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 0990515 CO Primary

Addresses

Primary practice location

6816 W 8TH Circle
Arvada, CO 80003-1139

Mailing address

6816 W 85TH Cir, Unit 36
Arvada, CO 80003-1139
Phone (720) 500-5488

Other identifiers 1

IdentifierTypeStateIssuer
76589234MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20130912000547 CO Practitioner - Nurse Practitioner 4385888387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Critical Care and Pulmonary Consultants, P.C.Group PAC ID 7315851953, 151 clinicians
Goodness Health, LLCGroup PAC ID 1850694985, 61 clinicians

Practice addresses (Care Compare)

13659 E 104TH Ave
Suite 300 400
Commerce City, CO 80022-9402
Phone (720) 506-5340

7100 E Belleview Ave
Suite G10
Greenwood Village, CO 80111-1634
Phone (303) 745-0000

925 N Lincoln St
Apt 15a
Denver, CO 80203-2768
Phone (720) 500-5488

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
69.26
Improvement activities
40
Cost
69.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0990515COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goodness Health, LLC CurrentSince Dec 25, 2022 Accepting new patients
Goodness Health, LLC CurrentSince Dec 25, 2022 Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1669718201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6816 W 85TH CIR, UNIT 36",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800031139",
            "telephone_number": "720-500-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 W 8TH CIRCLE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800031139",
            "telephone_number": "720-500-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "BROOKE",
        "middle_name": "SUZETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-01",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0990515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76589234",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.