Brooklyn Wilson, AGAC-NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4009065 Issued in KY

Practice address

200 Medical Center Dr
Hazard, KY 41701-9466

Phone

(606) 487-7510

Fax

(606) 439-6793

NPI assigned

Aug 31, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY, WV2 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

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029

Merit-based Incentive Payment System (MIPS)

Final score

82.15 of 100Reported as apm

Quality

47.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Appalachian Regional Healthcare, Inc

  • Family Medicine Physician
  • Beckley, WV
  • NPI 1477510162

  Acute Care

  Medicare reassignment Care Compare group NPD
• Appalachian Regional Healthcare, Inc.

  • Primary Care Clinic/Center
  • Bypro, KY
  • NPI 1861671117
  Medicare reassignment NPD
• Arh Mary Breckinridge Health Services, Inc.

  • Multi-Specialty Clinic/Center
  • Corbin, KY
  • NPI 1053983908
  Medicare reassignment NPD
• Arh Mary Breckinridge Health Services, Inc.

  • Rural Health Clinic/Center
  • Hyden, KY
  • NPI 1073898102
  Medicare reassignment NPD
• Arh Mary Breckinridge Health Services, Inc.

  • Critical Access Hospital
  • Martin, KY
  • NPI 1306339460
  Medicare reassignment NPD
• Arh Tug Valley Health Services, Inc.

  • Multi-Specialty Clinic/Center
  • Paintsville, KY
  • NPI 1588328967
  Medicare reassignment NPD
• Appalachian Regional Healthcare, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Whitesburg, KY
  • NPI 1417045998
  Medicare reassignment NPD (past)
• Appalachian Regional Healthcare, Inc

  • Rural Health Clinic/Center
  • Wayland, KY
  • NPI 1154917391
  NPD
• Appalachian Regional Healthcare, Inc

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD
• Appalachian Regional Healthcare, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Hazard, KY
  • NPI 1780728881
  NPD
• Arh Mary Breckinridge Health Services, Inc.

  • Rural Health Clinic/Center
  • Martin, KY
  • NPI 1629561733
  NPD
• Arh Mary Breckinridge Health Services, Inc.

  • Rural Health Clinic/Center
  • Barbourville, KY
  • NPI 1770029126
  NPD

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

• Appalachian Regional Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Hazard, KY
  • NPI 1558431346

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • General Acute Care Hospital
  • Hazard, KY
  • NPI 1609869916
  Care Compare affiliation

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1932985488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-487-7510",
            "fax_number": "606-439-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-487-7510",
            "fax_number": "606-439-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BROOKLYN",
        "credential": "AGAC-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "4009065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwilson04@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "200 Medical Center Dr",
            "city": "Hazard",
            "state": "KY",
            "country_code": "US",
            "postal_code": "417019466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cynthia Roann Williams, PHARMD
• Ernie Michael Williams, CADC
• Jonathan P Williams
• Linda Williams
• Lindsey Williams, APRN
• Telena Wilson
• Jennifer Witt-Fraley
• WM. Dwayne Sizemore, O.D., PSC
• Mary Woods
• Amanda Gail Wooton, M. ED, LPCC

• Acute Care Nurse Practitioner in Hazard, KY
• Providers in Hazard, KY by specialty
• Acute Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.