JACQUELYN BONNIE BROOKS (C-FNP) – Family Nurse Practitioner, NPI 1861402224
Family Nurse Practitioner
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NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for JACQUELYN BONNIE BROOKS (C-FNP)
23504, Lyons Avenue, Newhall, Santa Clarita, Los Angeles County, California, 91321, United States
SUITE 101B
SANTA CLARITA, CA 913212500
Phone: (661) 799-0100
Fax: (661) 799-0200
Type: Location
1593 E POLSTON AVE
POST FALLS, ID 838545326
Phone: (208) 262-2300
Fax: (208) 262-2390
Type: Mailing
1651 E POLSTON AVE
POST FALLS, ID 83854
Phone: (208) 457-4208
Fax: (208) 457-4197
Type: Location
1641 E POLSTON AVE STE 101
POST FALLS, ID 838547852
Phone: (208) 457-4208
Fax: (208) 457-4197
Type: Location
28022, Daydream Way, Copper Hill, Santa Clarita, Los Angeles County, California, 91354, United States
VALENCIA, CA 913541103
Phone: (661) 713-6064
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-11-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220329002676 | I | Nurse Practitioner | WA | TBD |
| I20231115000310 | I | Nurse Practitioner | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 96 | 89 | $0 |
| 81002 | Urinalysis, manual test | 48 | 46 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 44 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 35 | $0 |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 35 | 35 | $0 |
Insurance plans in this area (ZIP 91321)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| - | ID | |
| - | WA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | ID | |
| Physician Assistant | ID |
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