Tanya Marie Brokob, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-76043 Issued in KS

Practice address

302 N Hospital Dr
Girard, KS 66743-2000

Phone

(620) 724-8291

NPI assigned

Aug 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital District No 1 Crawford CountyGroup PAC ID 3476464538, shared by 11 NPIs, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girard Medical Center Hospital, Girard, KS, CCN 171376

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tanya.brokob@khindirect.org

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.

• Hospital District No 1 Crawford County

  • Nurse Practitioner
  • Girard, KS
  • NPI 1508897182
  Medicare reassignment NPD
• Hospital District No 1 Crawford County

  • Critical Access Hospital
  • Girard, KS
  • NPI 1578505095
  Medicare reassignment NPD
• Hospital District No 1 Crawford County

  • Rural Health Clinic/Center
  • Fort Scott, KS
  • NPI 1093426470
  NPD
• Hospital District No 1 Crawford County

  • Orthopaedic Surgery Physician
  • Girard, KS
  • NPI 1588993232
  NPD
• Hospital District No 1 Crawford County

  • Rural Health Clinic/Center
  • Girard, KS
  • NPI 1548406309
  NPD (past)

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

• Hospital District No 1 Crawford County

  • Critical Access Hospital
  • Girard, KS
  • NPI 1578505095
  Care Compare affiliation

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1780016006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WILLIAMS ST",
            "city": "GIRARD",
            "state": "KS",
            "postal_code": "667432101",
            "telephone_number": "620-724-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N HOSPITAL DR",
            "city": "GIRARD",
            "state": "KS",
            "postal_code": "667432000",
            "telephone_number": "620-724-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROKOB",
        "first_name": "TANYA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addiction Treatment Center of Southeast Kansas
• Bob Banks, APPS COUNSELOR
• Ann W Beezley, D.D.S.
• Shelly Amber Bodensteiner, M.A. CCC-A
• Brown Family Practice Clinic
• Douglas Keith Brown, MD
• Bret Michael Bullard, ARNP, FNP
• Dakota Dewayne Bunch, MD
• Care-4-U, Inc.

• Family Nurse Practitioner in Girard, KS
• Providers in Girard, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.