BROOKE ANNE BOCCACCIO (APRN-NP) – Nurse Practitioner, NPI 1093203465

BROOKE ANNE BOCCACCIO (APRN-NP) is a healthcare provider. based in Brookhaven, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-NP. They hold a License No. RN224129 (GA). The NPI Number for BROOKE ANNE BOCCACCIO (APRN-NP) is 1093203465

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE ANNE BOCCACCIO (APRN-NP)
NPI
1093203465
Phone
(678) 820-7830
Address
2801 BUFORD HWY NE STE 100
Enumeration Date
1 May 2018
Last Update Date
27 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6788207830
Graduation Year
2017 (9 years ago)
PAC ID
3072862960
Group Practice PAC ID
5092611384
Professional Enrollment ID
I20180827002134
Address ID
GA303292146BR2801XNEXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for BROOKE ANNE BOCCACCIO (APRN-NP)

  • 2801 BUFORD HWY NE STE 100

    BROOKHAVEN, GA 303292146

    Phone: (678) 820-7830

    Fax: (678) 373-0339

    Type: Mailing

  • 2150 PEACHFORD RD STE H

    ATLANTA, GA 303386539

    Phone: (770) 454-1252

    Type: Location

  • 22, Northwood Avenue Northeast, Brookwood, Atlanta, Fulton County, Georgia, 30309, United States

    ATLANTA, GA 303091529

    Phone:

    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: 2018-08-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180827002134INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8622$0
90833Psychotherapy with evaluation and management visit, 30 minutes6321$0
View full utilization report →

Insurance plans in this area (ZIP 30329)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092611384View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerFL
-GA
-GA
Clinical PsychologistGA
Nurse PractitionerGA
Clinical PsychologistGA
Marriage And Family TherapistGA
P S Y C H I A T R YGA
Clinical PsychologistGA

Reviews

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Frequently asked questions

What federal number belongs to BROOKE ANNE BOCCACCIO (APRN-NP)?
The federal identifier for BROOKE ANNE BOCCACCIO (APRN-NP) is NPI 1093203465.
Is BROOKE ANNE BOCCACCIO (APRN-NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is BROOKE ANNE BOCCACCIO (APRN-NP)?
The page reflects Nurse Practitioner for BROOKE ANNE BOCCACCIO (APRN-NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for BROOKE ANNE BOCCACCIO (APRN-NP)?
The page summarizes Brookhaven, Georgia for BROOKE ANNE BOCCACCIO (APRN-NP); expand the address list for detail.
How can I contact BROOKE ANNE BOCCACCIO (APRN-NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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