Individual provider Active NPI

Brooke Ann Falstreau, AGNP-C, DNP

  • Nurse Practitioner
  • Kernersville, NC
National Provider Identifier
1962995241
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5010597 Issued in NC
Practice address
490 Pineview Dr Ste a
Kernersville, NC 27284-3995
Phone
(336) 992-2340
Fax
(336) 992-2350
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010597 NC Primary

Addresses

Primary practice location

490 Pineview Dr Ste a
Kernersville, NC 27284-3995

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

6161 Lake Brandt Rd
Greensboro, NC 27455
Phone (336) 643-5800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bguyer143187@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190502000181 NC Practitioner - Nurse Practitioner 4486996923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

6161 Lake Brandt Rd
Unit B
Greensboro, NC 27455-8415
Phone (336) 643-5800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Aug 19, 2018 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 19, 2018 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

6161 Lake Brandt Rd
Unit B
Greensboro, NC 27455
Phone (336) 643-5800

6161 Lake Brandt Rd
Greensboro, NC 27455
Phone (336) 274-7649

490 Pineview Dr
Ste A
Kernersville, NC 27284
Phone (336) 992-2340

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 4

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 1

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1962995241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 PINEVIEW DR STE A",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843995",
            "telephone_number": "336-992-2340",
            "fax_number": "336-992-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6161 Lake Brandt Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "27455",
            "country_code": "US",
            "telephone_number": "336-643-5800",
            "fax_number": "336-643-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALSTREAU",
        "first_name": "BROOKE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bguyer143187@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "6161 Lake Brandt Rd",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.