Amy Lynne Brooks, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F09211612 Issued in TX

Practice address

200 Renaissance Way
Crockett, TX 75835-1772

Phone

(936) 243-6568

NPI assigned

Sep 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amy Lynne Free Former name

Medicare fee-for-service enrollment

Enrolled in TX

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Davam Family Medicine PLLCGroup PAC ID 1355780834, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Freestone Medical Center Hospital, Fairfield, TX, CCN 450658

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIBDCA
• FHIR API: https://api.platform.athenahealth.com/17729/brand/1/csg/1/fhir/r4

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.

• Davam Family Medicine PLLC

  • Family Medicine Physician
  • Magnolia, TX
  • NPI 1952183543
  Medicare reassignment Care Compare group NPD
• Fairfield Hospital District

  • General Acute Care Hospital
  • Fairfield, TX
  • NPI 1235685892
  Medicare reassignment NPD
• Pulse Physician Organization PLLC

  • Cardiovascular Disease Physician
  • Huntsville, TX
  • NPI 1073087599
  Medicare reassignment NPD
• Star Family Medicine PLLC

  • Family Medicine Physician
  • Weatherford, TX
  • NPI 1275027385
  Medicare reassignment NPD
• Star Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Magnolia, TX
  • NPI 1871933259
  Medicare reassignment NPD
• Texas a&M University System Health Science Center

  • Rural Health Clinic/Center
  • Bryan, TX
  • NPI 1851918700
  Medicare reassignment NPD
• Fairfield Hospital District

  • Rural Health Clinic/Center
  • Teague, TX
  • NPI 1679049050

  Family

  NPD
• Fairfield Hospital District

  • Rural Health Clinic/Center
  • Buffalo, TX
  • NPI 1831782614

  Family

  NPD
• Pulse Healthcare System LLC

  • Cardiovascular Disease Physician
  • Tomball, TX
  • NPI 1609753763
  NPD (past)
• Star Urgent Care Management Inc

  • Urgent Care Clinic/Center
  • Magnolia, TX
  • NPI 1427493139
  NPD (past)

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

• Fairfield Hospital District

  • General Acute Care Hospital
  • Fairfield, TX
  • NPI 1235685892
  Care Compare affiliation

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1942972773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 HUMPHREYS ST",
            "city": "BUFFALO",
            "state": "TX",
            "postal_code": "758317555",
            "telephone_number": "903-480-0041",
            "fax_number": "903-480-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RENAISSANCE WAY",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351772",
            "telephone_number": "936-243-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "855948",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F09211612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FREE",
            "middle_name": "LYNNE",
            "credential": "MSN, APRN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Allysa Ballard, PTA
• Kimball Lamar Bishop, PTA
• Donal Eugene Brantley Jr., PH.D.
• Brookshire Brothers Inc
• Makaila Ann Brown, NURSE
• Karisa Corley Burke, M.ED., M.A., LPC
• John Allan Burnett, MD
• Children'S Clinic of Crockett

• Family Nurse Practitioner in Crockett, TX
• Providers in Crockett, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.