Individual provider Active NPI

Brooke Star Colombero, FNP-C

  • Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1740990050
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5017465 Issued in NC
Practice address
517 Alcove Rd Ste 102
Mooresville, NC 28117-8574
Phone
(704) 660-4750
Fax
(704) 660-4751
NPI assigned
Nov 28, 2022
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5017465 NC Primary

Addresses

Primary practice location

517 Alcove Rd Ste 102
Mooresville, NC 28117-8574

Mailing address

517 Alcove Rd Ste 102
Mooresville, NC 28117-8574
Phone (704) 660-4750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brooke.comombero.1@4693.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230124000835 NC Practitioner - Nurse Practitioner 0042681389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

517 Alcove Rd
Suite 102
Mooresville, NC 28117-8574
Phone (704) 660-4750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

131 Medical Park Rd
Ste 302
Mooresville, NC 28117
Phone (704) 660-4750

517 Alcove Rd
Ste 102
Mooresville, NC 28117
Phone (704) 660-4750

Interoperability endpoints

  • Direct secure messaging: bcolombero623462@direct.medicine.duke.edu
  • Direct secure messaging: brooke.comombero.1@4693.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1740990050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 ALCOVE RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178574",
            "telephone_number": "704-660-4750",
            "fax_number": "704-660-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 ALCOVE RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178574",
            "telephone_number": "704-660-4750",
            "fax_number": "704-660-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMBERO",
        "first_name": "BROOKE",
        "middle_name": "STAR",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brooke.comombero.1@4693.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "517 Alcove Rd Ste 102",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281178574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.