Individual provider Active NPI

Brooke Elizabeth Reichenbach, PA-C

  • Physician Assistant
  • Newark, DE
National Provider Identifier
1871115212
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0011452 Issued in DE
Practice address
620 Stanton Christiana Rd Ste 302
Newark, DE 19713-2135
Phone
(302) 660-7333
Fax
(302) 660-7323
NPI assigned
May 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0011452 DE Primary

Addresses

Primary practice location

620 Stanton Christiana Rd Ste 302
Newark, DE 19713-2135

Mailing address

701 N Clayton St
Wilmington, DE 19805-3155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brookereichenbach@sffp.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 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
I20210209000244 DE Practitioner - Physician Assistant 4981019700 Reassigns benefits to 2 organizations
I20260112000085 PA Practitioner - Physician Assistant 4981019700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Hospital IncGroup PAC ID 7911987144, 47 clinicians
American Telehealth LLCGroup PAC ID 6608156906, 43 clinicians

Practice addresses (Care Compare)

2002 Foulk Rd
Wilmington, DE 19810-3643

2004 Shipley Rd
Wilmington, DE 19803-5248
Phone (888) 982-8594

410 N Krocks Rd
Allentown, PA 18106-9283
Phone (888) 982-8594

701 N Clayton St
Wilmington, DE 19805-3165

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Exton, PA, CCN 398263
  • St Francis Hospital Hospital, Wilmington, DE, CCN 080003
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0011452DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Hospital Inc CurrentSince Jun 1, 2022 Accepting new patients
American Telehealth, LLC CurrentSince Dec 1, 2025 Accepting new patients
St Francis Hospital Inc Past Accepting new patients

Locations

4175 Ogletown Stanton Rd
Newark, DE 19713
Phone (302) 283-0540

701 N Clayton St
Fl 2
Wilmington, DE 19805
Phone (302) 575-8040

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

2002 Foulk Rd
Ste C
Wilmington, DE 19810
Phone (302) 334-0330

2002 Foulk Rd
Ste D
Wilmington, DE 19810
Phone (302) 334-0330

Interoperability endpoints

  • Direct secure messaging: breichenbach2014649@direct.trinity-health.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1871115212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N CLAYTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD STE 302",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132135",
            "telephone_number": "302-660-7333",
            "fax_number": "302-660-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHENBACH",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0011452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brookereichenbach@sffp.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "St. Francis Hospital direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "620 Stanton Christiana Rd Ste 302",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197132135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.