Michelle L Brokes, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

T01546 Issued in KS

Practice address

1602 N Aylward Ave
Ellsworth, KS 67439-2541

Phone

(785) 472-3111

Fax

(785) 472-5731

NPI assigned

Sep 10, 2007

Last updated

Dec 17, 2009By 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 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellsworth County Medical CenterGroup PAC ID 5395643357, shared by 6 NPIs, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health of Dodge City Home health agency, Wa Keeney, KS, CCN 178116
• Ellsworth County Medical Center Hospital, Ellsworth, KS, CCN 171327
• Russell Regional Hospital Hospital, Russell, KS, CCN 171350
• Lincoln County Hospital Hospital, Lincoln, KS, CCN 171360
• Salina Regional Health Center Hospital, Salina, KS, CCN 170012

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ellsworth County Medical Center

  • Critical Access Hospital
  • Ellsworth, KS
  • NPI 1083614028
  Medicare reassignment NPD
• Ellsworth County Medical Center

  dba ECMC Rural Health Clinic Ellsworth

  • Rural Health Clinic/Center
  • Ellsworth, KS
  • NPI 1972504546
  Medicare reassignment NPD
• Lincoln County Hospital

  • Critical Access Hospital
  • Lincoln, KS
  • NPI 1942265327
  NPD (past)

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

• E Medical Group of Kansas No. 5, LLC

  dba Angels Care Home Health of Dodge City

  • Home Health Agency
  • Wakeeney, KS
  • NPI 1649720012
  Care Compare affiliation
• Ellsworth County Medical Center

  • Critical Access Hospital
  • Ellsworth, KS
  • NPI 1083614028
  Care Compare affiliation
• Lincoln County Hospital

  • Critical Access Hospital
  • Lincoln, KS
  • NPI 1942265327
  Care Compare affiliation
• Salina Regional Health Center, Inc

  • General Acute Care Hospital
  • Salina, KS
  • NPI 1689635138
  Care Compare affiliation
• West Central Kansas Association Inc.

  dba Russell Regional Hospital

  • General Acute Care Hospital
  • Russell, KS
  • NPI 1417939729
  Care Compare affiliation

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1972798353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 N AYLWARD AVE",
            "address_2": "PO BOX 103",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674392541",
            "telephone_number": "785-472-3111",
            "fax_number": "785-472-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 N AYLWARD AVE",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674392541",
            "telephone_number": "785-472-3111",
            "fax_number": "785-472-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROKES",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "T01546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "T01546",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200548240C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Ellsworth, KS
• Providers in Ellsworth, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.