Active NPI
Brooke Elizabeth Nyman, PA-C
- Medical Physician Assistant
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA057682
- Practice address
- 200 Hygeia Dr
Newark, DE 19713-2049 - Phone
- (302) 273-1701
- Fax
- (302) 273-4497
- NPI assigned
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C5-0012263 | DE | |
| Medical Physician Assistant | 363AM0700X | MA057682 | PA | Primary |
Addresses
Primary practice location
200 Hygeia Dr
Newark, DE 19713-2049
Mailing address
1800 E Park Ave
State College, PA 16803-6701
Phone (814) 234-6110
Other practice location 1
310 E Pulaski Hwy
Elkton, MD 21921-6435
Phone (443) 485-6213
Other practice location 2
1800 E Park Ave
State College, PA 16803-6709
Phone (814) 231-7000
Other names 1
- Brooke Elizabeth Koch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 E Songsmith Dr
Christianacare Gohealth Urgent Care
Bear, DE 19701-1194
Phone (302) 918-7509
15 S Dupont Hwy
Dover, DE 19901-7430
Phone (302) 857-0876
200 Banning St
Suite 170
Dover, DE 19904-3491
Phone (302) 674-1999
4724 Limestone Rd
Wilmington, DE 19808-1928
Phone (302) 467-3595
749 Middletown Warwick Rd
Christianacare Gohealth Urgent Care
Middletown, DE 19709-9095
Phone (302) 273-1614
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0012263 | DE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Quality Partners | Past | Accepting new patients |
Interoperability endpoints
- brooke.nyman@ghuccc.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- State College, PA
- NPI 1609891365
-
- Urgent Care Clinic/Center
- Wilmington, DE
- NPI 1881367332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1972985554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 E PARK AVE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168036701",
"telephone_number": "814-234-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HYGEIA DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049",
"telephone_number": "302-273-1701",
"fax_number": "302-273-4497"
}
],
"practiceLocations": [
{
"address_1": "310 E Pulaski Hwy",
"address_purpose": "LOCATION",
"city": "Elkton",
"state": "MD",
"postal_code": "219216435",
"country_code": "US",
"telephone_number": "443-485-6213",
"fax_number": "443-485-6226",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 E Park Ave",
"address_purpose": "LOCATION",
"city": "State College",
"state": "PA",
"postal_code": "168036709",
"country_code": "US",
"telephone_number": "814-231-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NYMAN",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0012263",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA057682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "KOCH",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.