Individual provider Active NPI

Michelle Leavetha Brooks, FNP-BC

  • Family Nurse Practitioner
  • Ferguson, MO
National Provider Identifier
1861225666
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025027141 Issued in MO
Practice address
199 N Florissant Rd
Ferguson, MO 63135-1976
Phone
(314) 449-9640
Fax
(314) 449-9642
NPI assigned
Aug 26, 2024
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025027141 MO Primary
Primary Care Nurse Practitioner 363LP2300X 231027 AK
Case Management Registered Nurse 163WC0400X 140862 AK

Addresses

Primary practice location

199 N Florissant Rd
Ferguson, MO 63135-1976

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other practice location 1

14400 Clayton Rd
Ballwin, MO 63011-2713
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250409002342 AK Practitioner - Nurse Practitioner 2264956465 Reassigns benefits to 1 organization
I20251003002368 MO Practitioner - Nurse Practitioner 2264956465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Minuteclinic Diagnostic of Kansas PAGroup PAC ID 7416043807, 139 clinicians
State of Alaska Department of AdministrationGroup PAC ID 5395638571, 15 clinicians

Practice addresses (Care Compare)

105 Bernard Dr
Belton, MO 64012-6181
Phone (816) 348-8815

14400 Clayton Rd
Ballwin, MO 63011-2713
Phone (866) 389-2727

3700 Piper St
Anchorage, AK 99508-4665
Phone (907) 269-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
140862AKMDCase Management Registered Nurse
231027AKMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Kansas, P.a. CurrentSince Oct 1, 2026 Accepting new patients
State of Alaska Department of Administration CurrentSince Feb 12, 2025 Accepting new patients
Complexcare Medical Group Midwest M PLLC Nurse Practitioner CurrentSince Sep 26, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Jul 28, 2025 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Nov 5, 2025 Accepting new patients
Theoria Medical Nurse Practitioner Past Accepting new patients

Locations

3700 Piper St
Anchorage, AK 99508
Phone (907) 269-7100

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

14400 Clayton Rd
Ballwin, MO 63011
Phone (636) 207-1137

199 N Florissant Rd
Ferguson, MO 63135
Phone (314) 449-9640

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767

9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190

4301 NE Parvin Rd
North Kansas City, MO 64117
Phone (816) 444-0900

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

505 W Evergreen St
Strafford, MO 65757
Phone (417) 736-9332

8021 Watson Rd
Webster Groves, MO 63119
Phone (314) 963-0398

809 W Benton St
Windsor, MO 65360
Phone (660) 467-3102

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1861225666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 N FLORISSANT RD",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631351976",
            "telephone_number": "314-449-9640",
            "fax_number": "314-449-9642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14400 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630112713",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "fax_number": "256-827-5084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MICHELLE",
        "middle_name": "LEAVETHA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025027141",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AK",
            "license": "231027",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AK",
            "license": "140862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferguson, MO

Sources for this page

Verify at the official NPI Registry.