Individual provider Active NPI

Michelle L Brookey, CNM

  • Advanced Practice Midwife
  • Eugene, OR
National Provider Identifier
1679096705
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
2017040024NP-PP Issued in OR
Practice address
590 Country Club Pkwy
Eugene, OR 97401-6025
Phone
(541) 683-1559
NPI assigned
Jul 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 2017040024NP-PP OR
Advanced Practice Midwife 367A00000X 2017040024NP-PP OR Primary

Addresses

Primary practice location

590 Country Club Pkwy
Eugene, OR 97401-6025

Mailing address

5225 SE Francis St
Portland, OR 97206-3957
Phone (678) 641-8172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, WI, MN, GA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20171005000333 OR Practitioner - Certified Nurse Midwife (CNM) 3476828120 Reassigns benefits to 1 organization
I20240223003813 WA Practitioner - Certified Nurse Midwife (CNM) 3476828120 Reassigns benefits to 1 organization
I20260409001667 WI Practitioner - Certified Nurse Midwife (CNM) 3476828120 Reassigns benefits to 1 organization
I20260409001940 MN Practitioner - Certified Nurse Midwife (CNM) 3476828120 Reassigns benefits to 1 organization
I20260514000281 GA Practitioner - Certified Nurse Midwife (CNM) 3476828120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians

Practice addresses (Care Compare)

1700 Hospital S Dr
Suite 500
Austell, GA 30106-8159
Phone (770) 941-7717

2121 NE 139TH St
Vancouver, WA 98686-2316

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

Hospital & facility affiliations

  • Legacy Salmon Creek Medical Center Hospital, Vancouver, WA, CCN 500150

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
96.26
Promoting interoperability
100
Improvement activities
40
Cost
79.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
2017040024NP-PPORMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Jan 24, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jan 24, 2024 Accepting new patients
Legacy Clinics LLC Midwife CurrentSince Aug 26, 2023 Accepting new patients

Locations

24850 SE Stark St
Ste 150
Gresham, OR 97030
Phone (503) 414-5700

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1130 NW 22nd Ave
Ste 110
Portland, OR 97210
Phone (503) 413-3940

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

19260 SW 65th Ave
Ste 140
Tualatin, OR 97062
Phone (503) 413-8654

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

2121 NE 139th St
Ste 120
Vancouver, WA 98686
Phone (360) 487-1717

Interoperability endpoints

  • Direct secure messaging: mbrookey168380@direct.ohsu.edu

Organizations & group practices 5

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 2

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": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1679096705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 SE FRANCIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063957",
            "telephone_number": "16786418172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COUNTRY CLUB PKWY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016025",
            "telephone_number": "541-683-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKEY",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "2017040024NP-PP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "2017040024NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.