Amanda Jane Brokke, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP121982 Issued in TX

Practice address

2701 E Stan Schlueter Loop Ste 100
Killeen, TX 76542-3810

Phone

(855) 876-7246

Fax

(855) 277-5070

NPI assigned

May 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid Tex Anesthesia Associates, P.a.Group PAC ID 5395815369, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Waco, TX, CCN 450042

Merit-based Incentive Payment System (MIPS)

Final score

36.76 of 100Reported as group

Quality

43.25

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Mid Tex Anesthesia Associates, PA

  • Anesthesiology Physician
  • Waco, TX
  • NPI 1174612857
  Medicare reassignment Care Compare group NPD
• Psa Anesthesia PLLC

  • Anesthesiology Physician
  • Austin, TX
  • NPI 1477828028
  Medicare reassignment NPD
• Psa Ambulatory Surgical Center of South Austin, LLC

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1770223901
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Providence

  • General Acute Care Hospital
  • Waco, TX
  • NPI 1093708679
  Care Compare affiliation

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1710247556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208379",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208382",
            "telephone_number": "512-485-7208",
            "fax_number": "844-364-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E STAN SCHLUETER LOOP STE 100",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423810",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St",
            "address_2": "Department of Anesthesia",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 DuVal Rd Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787594275",
            "country_code": "US",
            "telephone_number": "512-485-7200",
            "fax_number": "855-277-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROKKE",
        "first_name": "AMANDA",
        "middle_name": "JANE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-28",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "88406",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP121982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CRNA LICENSE",
            "identifier": "AP121982",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICARE PTAN",
            "identifier": "2J7040",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Britton, OTR
• Tienecka Marie Britton
• Denisha Jessica Broadway
• Courtney Broady, MA, LPC
• Kenneth J Brock, D.O.
• Zoe Grace Bronwasser, RBT
• Jasmine Lee Brooks
• Jeffrey A Brooks, PA-C
• Emma Marie Broussard, NP
• Elizabeth Brown-Miller, BCBA, LBA

• Certified Registered Nurse Anesthetist in Killeen, TX
• Providers in Killeen, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.