BROOKE CHAMPANE THOMSON (CRNA, DNAP) – Registered Nurse, NPI 1376277699

BROOKE CHAMPANE THOMSON (CRNA, DNAP) is a healthcare provider. based in Elkhorn, Nebraska. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA, DNAP. They hold a License No. 4704314176 (MI). The NPI Number for BROOKE CHAMPANE THOMSON (CRNA, DNAP) is 1376277699

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE CHAMPANE THOMSON (CRNA, DNAP)
NPI
1376277699
Phone
(313) 204-5120
Address
19256 MASON PLZ UNIT 72
Enumeration Date
12 July 2022
Last Update Date
24 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2482207505
Graduation Year
2023 (3 years ago)
PAC ID
1254794316
Group Practice PAC ID
9739697822
Professional Enrollment ID
I20230823001527
Address ID
MI483021055BL359XXCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

534 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NE

Provider Addresses for BROOKE CHAMPANE THOMSON (CRNA, DNAP)

  • 19256 MASON PLZ UNIT 72

    ELKHORN, NE 680225833

    Phone: (313) 204-5120

    Type: Mailing

  • 42ND AND EMILE

    OMAHA, NE 681980001

    Phone: (402) 559-4081

    Type: Location

  • 3615 MIDDLEBURY LN

    BLOOMFIELD HILLS, MI 483013362

    Phone: (313) 204-5120

    Type: Mailing

  • 2333 BIDDLE AVE

    WYANDOTTE, MI 481924668

    Phone: (734) 246-6000

    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: 2023-08-23

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
I20230823001527ICertified 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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 68022)

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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: 9739697822View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

How is BROOKE CHAMPANE THOMSON (CRNA, DNAP) identified in CMS data?
CMS-hosted NPPES data lists BROOKE CHAMPANE THOMSON (CRNA, DNAP) with NPI 1376277699.
Does CMS list BROOKE CHAMPANE THOMSON (CRNA, DNAP) as active?
Yes — BROOKE CHAMPANE THOMSON (CRNA, DNAP) is active in the NPI listing used on this page.
What taxonomy line describes BROOKE CHAMPANE THOMSON (CRNA, DNAP)?
For research purposes, treat BROOKE CHAMPANE THOMSON (CRNA, DNAP) as Registered Nurse in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BROOKE CHAMPANE THOMSON (CRNA, DNAP) on a map?
Expect Elkhorn, Nebraska as a primary anchor for BROOKE CHAMPANE THOMSON (CRNA, DNAP) unless the record lists multiple sites.
Is the information about BROOKE CHAMPANE THOMSON (CRNA, DNAP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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