Brooke Ann Piccini, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F03200578 Issued in PA

Practice address

1163 Country Club Rd
Monongahela, PA 15063-1095

Phone

(724) 258-1002

NPI assigned

Apr 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mon Vale Clinical Professionals IncGroup PAC ID 4385941012, 29 clinicians

Mon-Vale Specialty Practices, IncGroup PAC ID 0042464026, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Mon Vale Clinical Professionals, Inc.

  dba Mon-Vale Anesthesia Professionals

  • Anesthesiology Physician
  • Monongahela, PA
  • NPI 1013388271
  Medicare reassignment Care Compare group NPD
• Mon-Vale Specialty Practices, Inc

  • Gynecology Physician
  • Monongahela, PA
  • NPI 1356695720
  Medicare reassignment Care Compare group NPD
• Mon Vale Clinical Professionals, Inc.

  dba Mon-Vale Hospitalists

  • Hospitalist Physician
  • Monongahela, PA
  • NPI 1740805431
  NPD
• Mon-Vale Specialty Practices, Inc

  • Pulmonary Disease Physician
  • Rostraver Township, PA
  • NPI 1033829270
  NPD
• Mon-Vale Primary Care, Inc.

  • Nurse Practitioner
  • Finleyville, PA
  • NPI 1013201466
  NPD (past)
• Mon-Vale Radiation Oncology, Inc.

  • Radiation Oncology Physician
  • Monongahela, PA
  • NPI 1174962427
  NPD (past)

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

• Monongahela Valley Hospital, Inc

  dba Penn Highlands Mon Valley

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Monongahela, PA
  • NPI 1184401259
  Care Compare affiliation
• Monongahela Valley Hospital, Inc.

  dba Penn Highlands Mon Valley

  • General Acute Care Hospital
  • Monongahela, PA
  • NPI 1639353428
  Care Compare affiliation
• Monongahela Valley Hospital, Inc.

  dba Penn Highlands Mon Valley

  • General Acute Care Hospital
  • Monongahela, PA
  • NPI 1912905548
  Care Compare affiliation

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1942829635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 KENNETT DR",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372447",
            "telephone_number": "412-853-6728",
            "fax_number": "412-751-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB RD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631095",
            "telephone_number": "724-258-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCINI",
        "first_name": "BROOKE",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "F03200578",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN589333",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD",
            "identifier": "F03200578",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "RN589333",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christa Marie Peifer, DC
• Penn Neuromuscular Diagnostics, LLC (PNDX)
• Penn Rehab Network, Inc.
• Thamar Perry, PA-C, LAT, ATC
• Michele Elizabeth Pfarr, RD, LDN
• Nicole Renee Polinski, CRNP
• Julie Ann Pollack, RPH
• Amanda Dawn Pollock, DPT
• Lori Prendergast, CRNP
• Michael Putignano

• Family Nurse Practitioner in Monongahela, PA
• Providers in Monongahela, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.