MRS. BROOKE MICHELLE BRUKETTA (LCSW) – Clinical Social Worker, NPI 1467863878

MRS. BROOKE MICHELLE BRUKETTA (LCSW) is a healthcare provider. based in Rock falls, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149020355 (IL). The NPI Number for MRS. BROOKE MICHELLE BRUKETTA (LCSW) is 1467863878

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BROOKE MICHELLE BRUKETTA (LCSW)
NPI
1467863878
Phone
(815) 626-2230
Address
1300 W 2ND ST
Enumeration Date
20 May 2014
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8156254790
Graduation Year
2014 (12 years ago)
PAC ID
3375919384
Group Practice PAC ID
6103723267
Professional Enrollment ID
I20221017001307
Address ID
IL610811252ST101XXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for MRS. BROOKE MICHELLE BRUKETTA (LCSW)

  • 1300 W 2ND ST

    ROCK FALLS, IL 610711005

    Phone: (815) 626-2230

    Mailing address matches the actual address.

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: 2022-10-17

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
I20221017001307IClinical Social WorkerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61071)

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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: 6103723267View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MRS. BROOKE MICHELLE BRUKETTA (LCSW) for billing?
Administrative and clinical systems typically use NPI 1467863878 for MRS. BROOKE MICHELLE BRUKETTA (LCSW).
Does the public listing show MRS. BROOKE MICHELLE BRUKETTA (LCSW) as active?
MRS. BROOKE MICHELLE BRUKETTA (LCSW)'s NPI record reflects an active status in NPPES.
What services align with MRS. BROOKE MICHELLE BRUKETTA (LCSW)'s listing?
MRS. BROOKE MICHELLE BRUKETTA (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. BROOKE MICHELLE BRUKETTA (LCSW) in Rock Falls, Illinois?
For routing, start with Rock Falls, Illinois for MRS. BROOKE MICHELLE BRUKETTA (LCSW), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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