Alli Kristen Brooks, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

55256 Issued in CA

Practice address

50 Wentworth Dr
Bella Vista, AR 72715-6514

Phone

(479) 619-7719

NPI assigned

Apr 16, 2018

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plumas District HospitalGroup PAC ID 8224930466, shared by 4 NPIs, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oroville Hospital Hospital, Oroville, CA, CCN 050030
• Plumas District Hospital Hospital, Quincy, CA, CCN 051326

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Family Health Centers of San Diego, Inc

  dba Logan Heights Family Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1447281936
  Medicare reassignment
• Family Health Centers of San Diego, Inc

  dba City Heights Family Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1023054004
  NPD
• Family Health Centers of San Diego, Inc

  dba Escondido Physical Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1356178180
  NPD

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

• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1871606269
  Care Compare affiliation
• Plumas District Hospital

  • Critical Access Hospital
  • Quincy, CA
  • NPI 1326094269
  Care Compare affiliation

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1831686831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WENTWORTH DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727156514",
            "telephone_number": "479-619-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WENTWORTH DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727156514",
            "telephone_number": "479-619-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ALLI",
        "middle_name": "KRISTEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PT2018-023",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lou Boen
• Courtney Selck Book, M.D.
• Stephanie Jane Brackeen, LMT
• Katrina Elizabeth Bradley, PHARMD
• Leigh Ann Brasel, P.D.
• Ralph W Brown III, PT
• Burnett Transit Care LLC
• Gracie Anne Campbell, PT, DPT
• Rebekah Dawn Campos, DO
• Colton Alan Carmical, DDS

• Physician Assistant in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.