MR. LEON S BROOK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1811947708

MR. LEON S BROOK (CRNA) is a healthcare provider. based in Pocatello, Idaho. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RNA428 (ID). The NPI Number for MR. LEON S BROOK (CRNA) is 1811947708

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MR. LEON S BROOK (CRNA)
NPI
1811947708
Phone
(208) 232-7760
Address
PO BOX 4107
Enumeration Date
11 May 2006
Last Update Date
22 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604443735
Graduation Year
1993 (33 years ago)
PAC ID
1658564778
Group Practice PAC ID
1254233836
Professional Enrollment ID
I20250218000256
Address ID
CT063204700NE365XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience95
Completeness75
Years active:20State licenses:7Digital endpointsOther names

5,281 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for MR. LEON S BROOK (CRNA)

  • PO BOX 4107

    POCATELLO, ID 832054107

    Phone: (208) 232-7760

    Fax: (208) 232-1950

    Type: Mailing

  • 1600 Wallace Blvd

    Amarillo, TX 791061789

    Phone: (806) 212-2000

    Type: Location

  • 368 E Riverside Dr Ste B

    St George, UT 847906898

    Phone: (435) 767-0404

    Type: Location

  • 365 Montauk Ave

    New London, CT 063204700

    Phone: (203) 688-0715

    Type: Location

  • 52 Hazelnut Hill Rd

    Groton, CT 063403268

    Phone: (203) 688-0715

    Type: Location

  • 2240 E 2540 S

    ST GEORGE, UT 847906540

    Phone: (208) 241-0591

    Type: Mailing

  • 585 E RIVERSIDE DR STE 100

    ST GEORGE, UT 847907141

    Phone: (435) 310-5414

    Type: Location

  • Portneuf Medical Center, 777, Hospital Way, Pocatello, Bannock County, Idaho, 83201, United States

    POCATELLO, ID 832015175

    Phone: (208) 239-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($66).

Total Amount

$66

General + Research + Ownership

Payments

4

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$66
View all Open Payments →|Open Payments Risk Radar →

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: 2025-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20181206002962ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20210630003707ICertified Registered Nurse Anesthetist (Crna)AZTBD
I20230831001922ICertified Registered Nurse Anesthetist (Crna)UTTBD
I20250218000256ICertified Registered Nurse Anesthetist (Crna)CTTBD
I20250811003892ICertified Registered Nurse Anesthetist (Crna)KSTBD

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
01402Anesthesia for procedure for total knee joint replacement2424$0
View full utilization report →

Insurance plans in this area (ZIP 83205)

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Provider's Procedures

MR. LEON S BROOK (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETID00142Anesthesia for lens surgery1414

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: 1254233836View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
-CT
-CT
Internal MedicineNJ
Hospitalist, Internal MedicineCT
-CT
-CT
Internal MedicineCT
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. LEON S BROOK (CRNA)?
MR. LEON S BROOK (CRNA) — NPI 1811947708 — is the standard way to identify this listing.
Does CMS list MR. LEON S BROOK (CRNA) as active?
Yes — MR. LEON S BROOK (CRNA) is active in the NPI listing used on this page.
What taxonomy line describes MR. LEON S BROOK (CRNA)?
For research purposes, treat MR. LEON S BROOK (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MR. LEON S BROOK (CRNA)?
MR. LEON S BROOK (CRNA)'s geographic hint is Pocatello, Idaho in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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