Individual provider Active NPI

Brooke Bassett Phenicie, APRN-FPA

  • Family Nurse Practitioner
  • Glenview, IL
National Provider Identifier
1841591864
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209008732 Issued in IL
Practice address
1775 Glenview Rd Ste 103
Glenview, IL 60025-2943
Phone
(847) 637-8818
Fax
(847) 637-8817
NPI assigned
Nov 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041390638 IL
Family Nurse Practitioner 363LF0000X 71003442A IN
Family Nurse Practitioner 363LF0000X 209008732 IL Primary

Addresses

Primary practice location

1775 Glenview Rd Ste 103
Glenview, IL 60025-2943

Mailing address

1775 Glenview Rd Ste 103
Glenview, IL 60025-2943
Phone (847) 637-8818

Other names 1

  • Brooke Nicole Bassett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20110923000542 IL Practitioner - Nurse Practitioner 2163610452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1775 Glenview Rd
Suite 103
Glenview, IL 60025-2943
Phone (847) 637-8818

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041390638ILMDRegistered Nurse
209008732ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Migraine and Wellness Center, PLLC Family CurrentSince May 21, 2025 Accepting new patients

Locations

1775 Glenview Rd
Ste 103
Glenview, IL 60025
Phone (847) 637-8818

Organizations & group practices 1

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": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749340800000",
    "number": "1841591864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 GLENVIEW RD STE 103",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252943",
            "telephone_number": "847-637-8818",
            "fax_number": "847-637-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 GLENVIEW RD STE 103",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252943",
            "telephone_number": "847-637-8818",
            "fax_number": "847-637-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHENICIE",
        "first_name": "BROOKE",
        "middle_name": "BASSETT",
        "credential": "APRN-FPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041390638",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003442A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BASSETT",
            "middle_name": "NICOLE",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.