BROOK WHITAKER (FNP-C) – Registered Nurse, NPI 1043783673

BROOK WHITAKER (FNP-C) is a healthcare provider. based in Bloomington, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 28220902A (IN). The NPI Number for BROOK WHITAKER (FNP-C) is 1043783673

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
BROOK WHITAKER (FNP-C)
NPI
1043783673
Phone
(812) 676-3000
Address
421 S. LANDMARK AVENUE
Enumeration Date
7 January 2019
Last Update Date
15 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8126763000
Graduation Year
2018 (8 years ago)
PAC ID
7618214198
Group Practice PAC ID
0446576680
Professional Enrollment ID
I20190122001471
Address ID
IN474035003BL421XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

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Provider Addresses for BROOK WHITAKER (FNP-C)

  • 421, South Landmark Avenue, Bloomington, Monroe County, Indiana, 47403, United States

    BLOOMINGTON, IN 47403

    Phone: (812) 676-3000

    Fax: (812) 331-3311

    Type: Mailing

  • Monroe Hospital, 4011, South Monroe Medical Park Boulevard, Garden Acres, Bloomington, Monroe County, Indiana, 47403, United States

    BLOOMINGTON, IN 47403

    Phone: (812) 825-0844

    Fax: (812) 825-0782

    Type: Location

  • 3211 W REDDY WAY

    BLOOMINGTON, IN 474034066

    Phone: (812) 825-0777

    Fax: (812) 825-3917

    Type: Mailing

  • 421 S. LANDMARK AVENUE

    BLOOMINGTON, IN 47403

    Phone: (812) 676-3000

    Fax: (812) 331-3311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 220 Open Payments records for all available years, with a total value of $3,217.

Total Amount is formed as General ($3,217) + Research ($0) + Ownership ($0) = $3,217.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($475).

Total Amount

$3,217

General + Research + Ownership

Payments

220

Total payment records

General Amount

$3,217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-01-22

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
I20190122001471INurse PractitionerINTBD

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 minutes375155$0
36415Insertion of needle into vein for collection of blood sample238138$0
99215Established patient office or other outpatient visit, 40-54 minutes10654$0
99213Established patient office or other outpatient visit, 20-29 minutes7654$0
J0696Injection, ceftriaxone sodium, per 250 mg7617$0
View full utilization report →

Insurance plans in this area (ZIP 47403)

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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: 0446576680View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
General SurgeryIN
Nurse PractitionerIN
Internal Medicine, Emergency MedicineIN
Rheumatology, Internal MedicineIN
Orthopedic Surgery, Sports MedicineIN
Nurse PractitionerIN
-IN
General SurgeryIN
General Surgery, Internal MedicineIN

Reviews

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Frequently asked questions

Where can patients find BROOK WHITAKER (FNP-C)'s NPI?
You can confirm BROOK WHITAKER (FNP-C) with NPI 1043783673; it appears in the national provider directory.
Does this profile mean BROOK WHITAKER (FNP-C) is currently active?
Yes — BROOK WHITAKER (FNP-C) appears active in the national provider directory.
Does BROOK WHITAKER (FNP-C) list a primary specialty?
If you are matching referrals, note Registered Nurse for BROOK WHITAKER (FNP-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for BROOK WHITAKER (FNP-C)?
The page summarizes Bloomington, Indiana for BROOK WHITAKER (FNP-C); expand the address list for detail.
What if Bloomington, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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