Brooke Pezak, CRNP
Individual provider Active NPI Family Medicine Physician · Mount Pocono, PA
NPI 1689528564 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1689528564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- SP035242 (PA)
- Practice address
- 126 Market Way
Mount Pocono, PA 18344-1039 - Phone
- (570) 839-3633
- NPI assigned
- Feb 25, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 N Academy Ave
Danville, PA 17822-4903
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260427003654 | PA | Practitioner - Nurse Practitioner | 1658848635 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP035242 | PA | MD | Family Medicine Physician |
| RN763626 | PA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN763626 | PA | |
| Family Medicine Physician | 207Q00000X | SP035242 | PA | Yes |
Addresses
Primary practice location
126 Market Way
Mount Pocono, PA 18344-1039
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 839-3633
Other names
- Brooke Burchfield
Other providers in Mount Pocono, PA
- Cheril Parmar
- Jessica Pedersen
- Gregory David Pence
- Pennsylvania Associates
- Pennsylvania Associates, LLC
- David Peeair Phillips
- James Irving Plummer Jr.
- Pocono Resolutions LLC
- Patricia A Polinski
- Tanya Simone Rashford
All providers in Mount Pocono, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.