Brooke A Nosovitsky, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0008575 Issued in CO

Practice address

2730 Commercial Way
Montrose, CO 81401-5693

Phone

(970) 964-4036

NPI assigned

May 7, 2020

Last updated

May 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, CO2 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

Specialty

Physician Assistant

Education

Southern Illinois University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montrose Dermatology PLLCGroup PAC ID 3577738012, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montrose Regional Health Hospital, Montrose, CO, CCN 060006

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as group

Improvement activities

40

Cost

81.89

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Montrose Dermatology PLLC

  dba Montrose Dermatology

  • Dermatology Physician
  • Montrose, CO
  • NPI 1154613016
  Medicare reassignment Care Compare group NPD
• The Plastic Surgery Group, P.C.

  • Plastic and Reconstructive Surgery Physician
  • Chattanooga, TN
  • NPI 1356302723
  Medicare reassignment
• The Plastic Surgery Group,PC

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
  • NPI 1417451048
  NPD
• The Plastic Surgery Group,PC

  • Plastic and Reconstructive Surgery Physician
  • Chattanooga, TN
  • NPI 1669976213
  NPD

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

• Montrose Memorial Hospital, Inc

  dba Montrose Regional Health

  • General Acute Care Hospital
  • Montrose, CO
  • NPI 1205822186
  Care Compare affiliation

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1912529462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 COMMERCIAL WAY",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015693",
            "telephone_number": "970-964-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 COMMERCIAL WAY",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015693",
            "telephone_number": "970-964-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSOVITSKY",
        "first_name": "BROOKE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10774",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4311",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Noonan
• Kendra Norris
• Northland Hearing Centers, Inc (Northey Audiology)
• Northland Hearing Centers, Inc.
• Northland Hearing Centers, Inc. (Advanced Hearing Solutions)
• Susan Noyes
• Nursing Soles, LLC
• Shaun Thomas O'Malley, PA-C
• Patrick D O'Meara, DO
• Oasis Menopause Care LLC

• Physician Assistant in Montrose, CO
• Providers in Montrose, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.