MARY KATHLEEN BROOKS (CNP) – Nurse Practitioner, NPI 1336487404
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MARY KATHLEEN BROOKS (CNP)
4439 STATE ROUTE 159
SUITE 210
CHILLICOTHE, OH 456018207
Phone: (740) 779-8530
Type: Mailing
4439 State Route 159
Suite 210
Chillicothe, OH 456018207
Phone: (740) 779-8530
Type: Location
615 ELSINORE PL STE 200
CINCINNATI, OH 452021457
Phone: (513) 834-7063
Type: Mailing
1345 PLANTATION RD NE
ROANOKE, VA 240125712
Phone: (833) 510-4357
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,032.
Total Amount is formed as General ($1,032) + Research ($0) + Ownership ($0) = $1,032.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($229).
Total Amount
$1,032
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,032
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-09-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170928003624 | I | Nurse Practitioner | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 45601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | VA | |
| G A S T R O E N T E R O L O G Y | VA | |
| - | TN | |
| G A S T R O E N T E R O L O G Y | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| G A S T R O E N T E R O L O G Y | VA | |
| A N E S T H E S I O L O G Y | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Physician Assistant | VA | |
| A N E S T H E S I O L O G Y | VA |
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