NPIMap

Individual provider Active NPI

Kelsey Leeanne Brooks, FNP-BC

  • Family Nurse Practitioner
  • Amherst, VA
National Provider Identifier
1851086300
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187092 Issued in VA
Practice address
115 Ambriar PLZ
Amherst, VA 24521-4741
Phone
(434) 946-9565
NPI assigned
Apr 10, 2023
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 0024187092 VA Primary

Addresses

Primary practice location

115 Ambriar PLZ
Amherst, VA 24521-4741

Mailing address

835 Sunset Ridge Dr
Concord, VA 24538-3681
Phone (434) 849-4624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719000696 VA Practitioner - Nurse Practitioner 9739549064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians

Practice addresses (Care Compare)

16890 Forest Rd
Forest, VA 24551-4059
Phone (434) 200-7210

216 Amelon SQ
Suite 7
Madison Heights, VA 24572-5981
Phone (434) 225-4210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince Jun 1, 2023 Accepting new patients
Centra Medical Group, LLC CurrentSince Jun 1, 2023 Accepting new patients
Centra Health Professional Services, LLC Past Accepting new patients

Locations

115 Ambriar Plz
Amherst, VA 24521
Phone (434) 381-6090

140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297

16890 Forest Rd
Forest, VA 24551
Phone (434) 200-7210

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1851086300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SUNSET RIDGE DR",
            "city": "CONCORD",
            "state": "VA",
            "postal_code": "245383681",
            "telephone_number": "434-849-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 AMBRIAR PLZ",
            "city": "AMHERST",
            "state": "VA",
            "postal_code": "245214741",
            "telephone_number": "434-946-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KELSEY",
        "middle_name": "LEEANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, VA

Sources for this page

Verify at the official NPI Registry.