Individual provider Active NPI

Brooke Hanna Hewitt, NP

  • Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1770185068
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NUR-APRN-LIC-163532 Issued in MT
Practice address
1532 Ellis St Ste 104
Bozeman, MT 59715-8809
Phone
(877) 522-1275
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NUR-APRN-LIC-163532 MT
Nurse Practitioner 363L00000X NUR-APRN-LIC-163532 MT Primary

Addresses

Primary practice location

1532 Ellis St Ste 104
Bozeman, MT 59715-8809

Mailing address

4768 Vine St
Bozeman, MT 59718-9283
Phone (406) 599-4406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WA, ID, AR, NM, OR, ND7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20201216000669 MT Practitioner - Nurse Practitioner 7113339102 Reassigns benefits to 2 organizations
I20230316002184 WA Practitioner - Nurse Practitioner 7113339102 Reassigns benefits to 2 organizations
I20241004001937 ID Practitioner - Nurse Practitioner 7113339102 Reassigns benefits to 2 organizations
I20241219004400 AR Practitioner - Nurse Practitioner 7113339102 Reassigns benefits to 2 organizations
I20241220002309 NM Practitioner - Nurse Practitioner 7113339102 Reassigns benefits to 2 organizations
I20251215002914 OR Practitioner - Nurse Practitioner 7113339102 Reassigns benefits to 2 organizations
I20251227000632 ND Practitioner - Nurse Practitioner 7113339102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ideal Telemedicine Services LLCGroup PAC ID 2860726221, 47 clinicians
Ideal Option PLLCGroup PAC ID 6709013105, 90 clinicians

Practice addresses (Care Compare)

1100 Lexington Ave
Suite 400
Fort Smith, AR 72901-5170
Phone (877) 522-1275

1146 14TH Ave
Longview, WA 98632-3017
Phone (877) 522-1275

1215 120TH Ave NE
Suite 201
Bellevue, WA 98005-2135
Phone 87752212753049

1520 Parker Way
Mount Vernon, WA 98273-2595
Phone (877) 522-1275

1532 Ellis St
Suite 104
Bozeman, MT 59715-8809
Phone (877) 522-1275

1800 Cooper Point Rd SW
Suite 4
Olympia, WA 98502-1179
Phone 87752212783049

1811 Howard Rd
Suite 101
Auburn, WA 98002-6311
Phone 87752212753049

208 E Francis Ave
Spokane, WA 99208-1071
Phone (509) 222-1275

3301 30TH Ave S
Suite 102
Grand Forks, ND 58201-6009
Phone (877) 522-1275

3800 Byron Ave
Suite 116
Bellingham, WA 98229-2877
Phone 87752212755049

406 SE 131St Ave
Suite 104
Vancouver, WA 98683-4031
Phone (509) 222-1275

4301 Hoyt Ave
Everett, WA 98203-2316
Phone 87752212752123

500 SW 7TH St
Renton, WA 98057-2983
Phone (877) 522-1275

545 SE Oak St
Suite D
Hillsboro, OR 97123-4147
Phone (877) 522-1275

602 N 39TH Ave
Suite 200
Yakima, WA 98902-6398
Phone (877) 522-1275

667 Grant Rd
East Wenatchee, WA 98802-7818
Phone 87752212753049

7315 212TH St SW
Edmonds, WA 98026-7610
Phone (877) 522-1275

801 Encino PL NE
Suite E6
Albuquerque, NM 87102-2645
Phone (833) 888-7145

8050 W Rifleman St
Suite 200
Boise, ID 83704-9006
Phone 87752212752123

8508 W Gage Blvd
Suite A101
Kennewick, WA 99336-8106
Phone 50957093022123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-163532MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Telemedicine Services, LLC CurrentSince May 24, 2022 Accepting new patients
Ideal Option, PLLC CurrentSince May 24, 2022 Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Ideal Telemedicine Services, LLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations (25 of 82)

907 SE Village Loop
Ste 3
Bentonville, AR 72712

1355 Dave Ward Dr
Ste 102
Conway, AR 72034
Phone (346) 907-4805

1100 Lexington Ave
Ste 400
Fort Smith, AR 72901

1820 Central Ave
Ste D
Hot Springs National Park, AR 71901
Phone (501) 463-4627

1432 Braden St
Jacksonville, AR 72076
Phone (501) 982-7460

3637 E Johnson Ave
#B
Jonesboro, AR 72405
Phone (870) 243-4406

9219 Sibley Hole Rd
Little Rock, AR 72209
Phone (501) 565-8501

5326 W Markham St
Little Rock, AR 72205
Phone (501) 603-9885

6301 Father Tribou St
Little Rock, AR 72205
Phone (501) 319-7623

2711 W Kingshighway
Ste 10
Paragould, AR 72450

902 W Main St
Russellville, AR 72801

2521 Alma Hwy
Van Buren, AR 72956
Phone (479) 474-7448

8050 W Rifleman St
Boise, ID 83704
Phone (208) 706-5680

8050 W Rifleman St
Ste 200
Boise, ID 83704

3110 Cleveland Blvd
Ste A7
Caldwell, ID 83605

3918 N Schreiber Way
Coeur D Alene, ID 83815
Phone (509) 961-6672

380 N Capital Ave
Idaho Falls, ID 83402
Phone (208) 881-5059

380 N Capital Ave
Ste 1
Idaho Falls, ID 83402

35 Wildcat Way
Kellogg, ID 83837
Phone (208) 784-1351

1630 23rd Ave
Ste 501
Lewiston, ID 83501

1950 E Clark St
Ste 110
Pocatello, ID 83201
Phone (208) 232-7246

2101 Pine St
Sandpoint, ID 83864
Phone (208) 263-5159

1523 Wyoming Ave
Billings, MT 59102
Phone (406) 248-3175

1532 Ellis St
Ste 104
Bozeman, MT 59715
Phone (406) 581-3381

834 S Montana St
Butte, MT 59701
Phone (406) 723-0123

Organizations & group practices 6

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1770185068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4768 VINE ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189283",
            "telephone_number": "406-599-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 ELLIS ST STE 104",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158809",
            "telephone_number": "877-522-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "BROOKE",
        "middle_name": "HANNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "NUR-APRN-LIC-163532",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "NUR-APRN-LIC-163532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.