GREG A BROOKS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1255322459

GREG A BROOKS (CRNA) is a healthcare provider. based in Elkhart, Indiana. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 28162626A (IN). The NPI Number for GREG A BROOKS (CRNA) is 1255322459

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
GREG A BROOKS (CRNA)
NPI
1255322459
Phone
(574) 522-9922
Address
500 N Nappanee St
Enumeration Date
4 November 2005
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2175446464
Graduation Year
2001 (25 years ago)
PAC ID
8628966108
Group Practice PAC ID
5092857821
Professional Enrollment ID
I20131022000987
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

Provider Addresses for GREG A BROOKS (CRNA)

  • 500 N Nappanee St

    Elkhart, IN 465141503

    Phone: (574) 522-9922

    Type: Location

  • 520 N KINGSBURY ST UNIT 3201

    CHICAGO, IL 606548777

    Phone: (574) 229-5636

    Type: Mailing

  • Saint Anthony Hospital, 2875, West 19th Street, Bohemian California, South Lawndale, Chicago, Cook County, Illinois, 60623, United States

    CHICAGO, IL 606233501

    Phone: (773) 484-4099

    Type: Location

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: 2013-10-22

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
I20131022000987ICertified Registered Nurse Anesthetist (Crna)ILTBD

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 46514)

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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: 5092857821View full group profile

Reviews

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Frequently asked questions

Can I cross-check GREG A BROOKS (CRNA) using NPI 1255322459?
NPI 1255322459 belongs to GREG A BROOKS (CRNA); compare other details if you need extra assurance.
Is GREG A BROOKS (CRNA) shown as active in public data?
Registry records indicate GREG A BROOKS (CRNA) maintains an active NPI.
How would a patient describe GREG A BROOKS (CRNA)'s focus?
For GREG A BROOKS (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with GREG A BROOKS (CRNA)?
Directory geography for GREG A BROOKS (CRNA) centers on Elkhart, Indiana.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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