BROOKE R MINERICK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1356613400

BROOKE R MINERICK (CRNA) is a healthcare provider. based in Iron mountain, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704246967 (MI). The NPI Number for BROOKE R MINERICK (CRNA) is 1356613400

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE R MINERICK (CRNA)
NPI
1356613400
Phone
(517) 787-6440
Address
PO BOX 370
Enumeration Date
6 February 2012
Last Update Date
11 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9067741313
Graduation Year
2011 (15 years ago)
PAC ID
4486814878
Group Practice PAC ID
6406260124
Professional Enrollment ID
I20120321000844
Address ID
MI498013637IR1721XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for BROOKE R MINERICK (CRNA)

  • PO BOX 370

    IRON MOUNTAIN, MI 498010370

    Phone: (517) 787-6440

    Fax: (517) 787-4146

    Type: Mailing

  • 1721 S STEPHENSON AVE

    IRON MOUNTAIN, MI 498013637

    Phone: (906) 776-5457

    Fax: (906) 776-5488

    Type: Location

  • 1301 Carpenter Ave

    Iron Mountain, MI 498014725

    Phone: (800) 428-8149

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Rayner Intraocular Lenses Limited ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

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: 2012-03-21

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
I20120321000844ICertified Registered Nurse Anesthetist (Crna)MITBD

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
00142Anesthesia for lens surgery11187$0
00812Anesthesia for exam of colon using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 49801)

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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: 6406260124View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YCO
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

Is BROOKE R MINERICK (CRNA) listed with a National Provider Identifier?
Yes — BROOKE R MINERICK (CRNA) has NPI 1356613400 on file in the registry.
Is BROOKE R MINERICK (CRNA) still an active registrant?
BROOKE R MINERICK (CRNA) carries an active NPI according to the public dataset.
What clinical focus is listed for BROOKE R MINERICK (CRNA)?
At a glance, BROOKE R MINERICK (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is BROOKE R MINERICK (CRNA) located near Iron Mountain?
BROOKE R MINERICK (CRNA) currently maps to Iron Mountain, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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