MS. BROOKE NEILLY VANANNE (PA) – Physician Assistant, NPI 1699757955

MS. BROOKE NEILLY VANANNE (PA) is a healthcare provider. based in Saint louis, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2005030557 (MO). The NPI Number for MS. BROOKE NEILLY VANANNE (PA) is 1699757955

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. BROOKE NEILLY VANANNE (PA)
NPI
1699757955
Phone
(314) 503-9535
Address
3015 N BALLAS RD
Enumeration Date
14 November 2005
Last Update Date
21 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
9436160470
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20060505000438
Address ID
MO631101016ST510XXBLVD402

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,853 PHYSICIAN ASSISTANT in MO

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Provider Addresses for MS. BROOKE NEILLY VANANNE (PA)

  • Missouri Baptist Medical Center, 3015, North Ballas Road, Town and Country, Saint Louis County, Missouri, 63131, United States

    GI LAB

    SAINT LOUIS, MO 631312329

    Phone: (314) 503-9535

    Type: Location

  • 163, Valleybrook Drive, Brookhaven, O’Fallon, Saint Charles County, Missouri, 63368, United States

    O FALLON, MO 633689635

    Phone: (314) 983-8303

    Type: Mailing

  • 510 S KINGSHIGHWAY BLVD

    DEPT RADIOLOGY

    SAINT LOUIS, MO 631101016

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Location

  • 660 S EUCLID AVE

    MSC 8109-05-05

    SAINT LOUIS, MO 631101010

    Phone: (314) 747-0410

    Fax: (877) 991-8954

    Type: Mailing

  • 4921 PARKVIEW PL

    DIV SURG HPB, STE 12C

    SAINT LOUIS, MO 631101032

    Phone: (314) 747-0410

    Fax: (877) 991-8954

    Type: Location

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Mailing

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: 2006-05-05

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
I20060505000438IPhysician AssistantMOTBD

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
10005Fine needle aspiration biopsy using ultrasound guidance, first growth8578$0
77002Fluoroscopic guidance for needle placement2322$0
20610Aspiration and/or injection of fluid from large joint2019$0
10006Fine needle aspiration biopsy using ultrasound guidance, each additional growth1312$0
View full utilization report →

Insurance plans in this area (ZIP 63131)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. BROOKE NEILLY VANANNE (PA)?
MS. BROOKE NEILLY VANANNE (PA) — NPI 1699757955 — is the standard way to identify this listing.
Can I rely on MS. BROOKE NEILLY VANANNE (PA) being an active provider?
As of the registry snapshot, MS. BROOKE NEILLY VANANNE (PA) is marked active.
What taxonomy line describes MS. BROOKE NEILLY VANANNE (PA)?
For research purposes, treat MS. BROOKE NEILLY VANANNE (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MS. BROOKE NEILLY VANANNE (PA) on a map?
Expect Saint Louis, Missouri as a primary anchor for MS. BROOKE NEILLY VANANNE (PA) unless the record lists multiple sites.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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