Individual provider Active NPI

Brooke Mackley, APRN

  • Family Nurse Practitioner
  • Colby, KS
National Provider Identifier
1801673173
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-82518-082 Issued in KS
Practice address
100 E College Dr
Colby, KS 67701-3799
Phone
(785) 462-7511
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 53-82518-082 KS Primary

Addresses

Primary practice location

100 E College Dr
Colby, KS 67701-3799

Mailing address

1468 Pioneer Dr
Colby, KS 67701-9307

Other names 1

  • Brooke Schiltz Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231004002933 KS Practitioner - Nurse Practitioner 1759736168 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-82518-082KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center Inc CurrentSince Sep 11, 2023 Accepting new patients
Citizens Medical Center, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Citizens Medical Center, Inc Past Accepting new patients

Locations

100 E College Dr
Colby, KS 67701
Phone (785) 462-7511

310 E College Dr
Colby, KS 67701
Phone (785) 462-6184

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1801673173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 PIONEER DR",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677019307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E COLLEGE DR",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013799",
            "telephone_number": "785-462-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLEY",
        "first_name": "BROOKE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82518-082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "SCHILTZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colby, KS

Sources for this page

Verify at the official NPI Registry.