Brooke A Masilak, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

341090 Issued in NY

Practice address

55 Humphreys Center Dr Ste 200
Memphis, TN 38120-2366

Phone

(901) 489-5681

NPI assigned

May 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

On Demand Neurology PAGroup PAC ID 5890180988, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brooke.masilak@329996733775876.direct.elationemr.com

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.

• On Demand Neurology PA

  • Neurology Physician
  • New York, NY
  • NPI 1265016174

  TN

  Medicare reassignment Care Compare group NPD
• Lisa Ann Liberatore, MD, PC

  • Specialist
  • New York, NY
  • NPI 1356593412
  Medicare reassignment NPD
• Cloud Health Medical Group of California, P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1194404327
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1689101727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HUMPHREYS CENTER DR STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202366",
            "telephone_number": "901-489-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HUMPHREYS CENTER DR STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202366",
            "telephone_number": "901-489-5681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E 42nd St Ste 1947",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100175773",
            "country_code": "US",
            "telephone_number": "313-887-0960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASILAK",
        "first_name": "BROOKE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Bracy
• Mary Haynes Wellness Center, PLLC
• Anjana Mary Jacob
• Callie Marzulli, APRN
• Syeda Aimen Masiha
• Mason Homecare
• Mason Transportation, LLC
• Constance D. Mason, LMSW
• Drew Mason, PHARM. D
• Jennifer Mason

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.