BROOKE NICOLE TIMS (RN, CFNP) – Family Nurse Practitioner, NPI 1477575561

BROOKE NICOLE TIMS (RN, CFNP) is a healthcare provider. based in Cleveland, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, CFNP. They hold a License No. R868828 (MS). The NPI Number for BROOKE NICOLE TIMS (RN, CFNP) is 1477575561

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE NICOLE TIMS (RN, CFNP)
NPI
1477575561
Phone
(662) 843-3606
Address
810 E SUNFLOWER RD STE 100A
Enumeration Date
24 July 2006
Last Update Date
28 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
7719086727
Group Practice PAC ID
6305995895
Professional Enrollment ID
I20070615000232
Address ID
MS387322830CL907XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for BROOKE NICOLE TIMS (RN, CFNP)

  • 810 E SUNFLOWER RD STE 100A

    CLEVELAND, MS 387322828

    Phone: (662) 843-3606

    Type: Mailing

  • Greenville Post Office, 600, West Washington Street, Downtown, Greenville, Greenville County, South Carolina, 29602, United States

    GREENVILLE, MS 387044739

    Phone: (662) 725-2749

    Fax: (662) 725-2741

    Type: Mailing

  • 512, Levee Street, Rosedale, Bolivar County, Mississippi, 38769, United States

    ROSEDALE, MS 38769

    Phone: (662) 759-6806

    Fax: (662) 759-6771

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $355.

Total Amount is formed as General ($355) + Research ($0) + Ownership ($0) = $355.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Janssen Biotech, Inc. ($124).

Total Amount

$355

General + Research + Ownership

Payments

17

Total payment records

General Amount

$355

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2007-06-15

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
I20070615000232INurse PractitionerMSTBD

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 minutes269229$0
96372Injection of drug or substance under skin or into muscle239186$0
99213Established patient office or other outpatient visit, 20-29 minutes199174$0
J0696Injection, ceftriaxone sodium, per 250 mg15734$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg156127$0
View full utilization report →

Insurance plans in this area (ZIP 38732)

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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: 6305995895View full group profile
NameSpecialtyState
Internal MedicineTX
Internal MedicineMS
Nurse PractitionerMS
-MS
-MS
-MS
O B S T E T R I C S/ G Y N E C O L O G YMS
General SurgeryVA
U R O L O G YMS
Thoracic SurgeryMI

Reviews

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Frequently asked questions

How is BROOKE NICOLE TIMS (RN, CFNP) identified in CMS data?
CMS-hosted NPPES data lists BROOKE NICOLE TIMS (RN, CFNP) with NPI 1477575561.
Is BROOKE NICOLE TIMS (RN, CFNP) listed as active for patients and plans?
The listing shows BROOKE NICOLE TIMS (RN, CFNP) as active in the NPI system.
What healthcare role does BROOKE NICOLE TIMS (RN, CFNP) hold?
Scheduling teams often label BROOKE NICOLE TIMS (RN, CFNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for BROOKE NICOLE TIMS (RN, CFNP)?
BROOKE NICOLE TIMS (RN, CFNP)'s geographic hint is Cleveland, Mississippi 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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