Brooke Danielle Hatfield, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.008003 Issued in IL

Practice address

1639 N Alpine Rd Ste 360
Rockford, IL 61107-1440

Phone

(815) 229-9333

NPI assigned

Dec 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adult and Pediatric Dermatology Specialists, P.C.Group PAC ID 5395806095, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

65.6 of 100Reported as group

Quality

31.19

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bhatfield@directaddress.net

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.

• Adult & Pediatric Dermatology Specialists, P.C.

  • Dermatology Physician
  • Westport, CT
  • NPI 1528275773

  CT

  Medicare reassignment Care Compare group NPD
• Adult & Pediatric Dermatology Specialists, P.C.

  • Dermatology Physician
  • Trumbull, CT
  • NPI 1013035138

  CT

  Medicare reassignment Care Compare group
• Edgebrook Dermatology P.C.

  • Dermatology Physician
  • Rockford, IL
  • NPI 1225184948
  NPD

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1881290948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 PICKWICK DR",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681092",
            "telephone_number": "815-761-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 N ALPINE RD STE 360",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071440",
            "telephone_number": "815-229-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "BROOKE",
        "middle_name": "DANIELLE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.008003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany M Hassen, APRN
• Sharon Ruth Hasting, APN
• Mark E Hastings, MD
• Natalie Hastings, MSW, LCSW
• Kristin Crowell Hatch
• Heather Lynn Hatfield, WHNP
• Linda Hatfield, LPN
• Linda Haugen
• Rose Marie Havens, MSW LCSW
• Alesia Oscea Hawkins-Jones, PH.D.

• All providers in Rockford, IL
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.