Brooke Gelecki, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP-03466 Issued in NM

Practice address

150 N Roadrunner Pkwy
Las Cruces, NM 88011-7044

Phone

(575) 556-6440

Fax

(575) 556-6445

NPI assigned

Jul 27, 2016

Last updated

Jun 9, 2020By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Three Crosses Regional Hospital LLCGroup PAC ID 1254758667, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ambercare Home Health Home health agency, Las Cruces, NM, CCN 327133
• Three Crosses Regional Hospital LLC Hospital, Las Cruces, NM, CCN 320091
• Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brooke.gelecki.1@19849.direct.athenahealth.com

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.

• Three Crosses Regional Hospital LLC

  • Multi-Specialty Clinic/Center
  • Las Cruces, NM
  • NPI 1487248050
  Medicare reassignment Care Compare group NPD
• Las Cruces Physician Practices, LLC

  dba NM Cardiovascualr Associates

  • Vascular Surgery Physician
  • Las Cruces, NM
  • NPI 1093947491
  Medicare reassignment NPD
• Las Cruces Physician Practices LLC

  dba Womens Medical Assocaites

  • Obstetrics & Gynecology Physician
  • Las Cruces, NM
  • NPI 1235484304
  NPD
• Las Cruces Physician Practices, LLC

  dba New Mexico Cardiac Care

  • Cardiovascular Disease Physician
  • Las Cruces, NM
  • NPI 1346586195
  NPD

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

• Ambercare Home Health Care Corporation

  dba Ambercare Home Health

  • Home Health Agency
  • Las Cruces, NM
  • NPI 1609039833
  Care Compare affiliation
• PHC-Las Cruces Inc

  dba Memorial Medical Center of Las Cruces

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1700821808
  Care Compare affiliation
• Three Crosses Regional Hospital LLC

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1760020044
  Care Compare affiliation

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1962955807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROADRUNNER PKWY",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117044",
            "telephone_number": "575-556-6440",
            "fax_number": "755-566-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROADRUNNER PKWY",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117044",
            "telephone_number": "575-556-6440",
            "fax_number": "575-556-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELECKI",
        "first_name": "BROOKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-03466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56086717",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gentle Care Dentistry
• Gentle Care Dentistry GPS LLC (Gentle Care Dentistry)

• Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.