Individual provider Active NPI

Nicole Marisa Brooks, NP

  • Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1952865768
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024177362 Issued in VA
Practice address
101 Park Hill Dr
Fredericksburg, VA 22401-3357
Phone
(540) 371-3010
Fax
(540) 899-9821
NPI assigned
Jan 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001211751 VA
Nurse Practitioner 363L00000X 0024177362 VA Primary

Addresses

Primary practice location

101 Park Hill Dr
Fredericksburg, VA 22401-3357

Mailing address

101 Park Hill Dr
Fredericksburg, VA 22401-3357
Phone (540) 371-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20190413000000 VA Practitioner - Nurse Practitioner 2961743299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Perelman School of Med at the University of Pennsylvania, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fredericksburg Nephrology Associates IncGroup PAC ID 6002892197, 12 clinicians

Practice addresses (Care Compare)

101 Park Hill Dr
Fredericksburg, VA 22401-3357
Phone (540) 371-3010

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001211751VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fredericksburg Nephrology Associates, Inc. CurrentSince Mar 1, 2019 Accepting new patients

Locations

101 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 371-3010

4604 Spotsylvania Pkwy
Ste 335
Fredericksburg, VA 22408
Phone (540) 898-4056

10344 Indiantown Rd
King George, VA 22485
Phone (540) 775-7279

4122 Partnership Way
Locust Grove, VA 22508
Phone (540) 972-2174

479 Garrisonville Rd
Stafford, VA 22554
Phone (540) 720-1225

Interoperability endpoints

  • Direct secure messaging: nbrooks15989@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1952865768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013357",
            "telephone_number": "540-371-3010",
            "fax_number": "540-899-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013357",
            "telephone_number": "540-371-3010",
            "fax_number": "540-899-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "NICOLE",
        "middle_name": "MARISA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001211751",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.