Individual provider Active NPI

Brooke Hepple, APRN

  • Family Nurse Practitioner
  • Hamden, CT
National Provider Identifier
1730969205
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12472 Issued in CT
Practice address
2830 Whitney Ave
Hamden, CT 06518-2561
Phone
(860) 808-4734
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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 12472 CT Primary

Addresses

Primary practice location

2830 Whitney Ave
Hamden, CT 06518-2561

Mailing address

51 Welles Dr
Newington, CT 06111-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240201003825 CT Practitioner - Nurse Practitioner 6406203066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
84.96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
12472NYMDCounselor
12472CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Connecticut, LLC CurrentSince Jan 1, 2024 Accepting new patients
Medical Walk in Care LLC PastSince Oct 8, 2023 Accepting new patients
Bristol Hospital Multi Specialty Group, Inc Past Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

Interoperability endpoints

  • Direct secure messaging: brooke.hepple@bhmg.eclinicaldirectplus.com

Organizations & group practices 3

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": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1730969205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WELLES DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182561",
            "telephone_number": "860-808-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPPLE",
        "first_name": "BROOKE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.