PENNY RUTH BROOKS (FNP-BC) – Family Nurse Practitioner, NPI 1669016259
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for PENNY RUTH BROOKS (FNP-BC)
303 N Clyde Morris Blvd
Daytona Beach, FL 321142709
Phone: (386) 425-4000
Type: Location
841 S Ponce De Leon Blvd Ste 4
St Augustine, FL 320846008
Phone: (904) 907-2229
Type: Location
9 Pine Cone Dr Ste 102
Palm Coast, FL 321378683
Phone: (386) 445-6191
Type: Location
9 PINE CONE DR STE 102
PALM COAST, FL 321378683
Phone: (386) 445-6191
Type: Mailing
2095 US HIGHWAY 1 S
ST AUGUSTINE, FL 320866000
Phone: (904) 429-0001
Type: Location
1308 S STATE ST
BUNNELL, FL 321107619
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $963.
Total Amount is formed as General ($963) + Research ($0) + Ownership ($0) = $963.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($279).
Total Amount
$963
General + Research + Ownership
Payments
61
Total payment records
General Amount
$963
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-04-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20200423000097 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 303 | 199 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 77 | 64 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 60 | 60 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 57 | 57 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 41 | 34 | $0 |
Insurance plans in this area (ZIP 32114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Pediatric Medicine | FL | |
| A L L E R G Y/ I M M U N O L O G Y | FL | |
| A L L E R G Y/ I M M U N O L O G Y | WI | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| A L L E R G Y/ I M M U N O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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