CARISSA ANN BROOKS – Medical Physician Assistant, NPI 1336730498

CARISSA ANN BROOKS is a healthcare provider. based in Wilder, Vermont. specializing in PHYSICIAN ASSISTANT. The NPI Number for CARISSA ANN BROOKS is 1336730498

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CARISSA ANN BROOKS
NPI
1336730498
Phone
(518) 424-7648
Address
PO BOX 863
Enumeration Date
1 February 2021
Last Update Date
1 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028727100
Graduation Year
2021 (5 years ago)
PAC ID
0840690723
Group Practice PAC ID
1153402888
Professional Enrollment ID
I20210615000442
Address ID
VT054523422ES8XXXXWAYX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

385 PHYSICIAN ASSISTANT in VT

Provider Addresses for CARISSA ANN BROOKS

  • PO BOX 863

    WILDER, VT 050880863

    Phone: (518) 424-7648

    Type: Mailing

  • 221 GILLETTE STREET

    WILDER, VT 050880863

    Phone: (518) 424-7648

    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: 2021-06-15

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
I20210615000442IPhysician AssistantVTTBD

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 minutes14178$0
99213Established patient office or other outpatient visit, 20-29 minutes11089$0
36415Insertion of needle into vein for collection of blood sample8350$0
99215Established patient office or other outpatient visit, 40-54 minutes7242$0
80061Blood test, lipids (cholesterol and triglycerides)4339$0
View full utilization report →

Insurance plans in this area (ZIP 05088)

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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: 1153402888View full group profile
NameSpecialtyState
Family PracticeVT
Physician AssistantVT
Nurse PractitionerVT
Family Practice, Sports MedicineVT
Family PracticeVT
Family PracticeVT
-VT
Family PracticeVT
-VT
Physician AssistantVT

Reviews

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Frequently asked questions

Is there an official ID for CARISSA ANN BROOKS in U.S. healthcare records?
The official identifier for CARISSA ANN BROOKS is NPI 1336730498.
Active or inactive — what applies to CARISSA ANN BROOKS?
You should see CARISSA ANN BROOKS as active in CMS-hosted NPPES data.
What area of care is associated with CARISSA ANN BROOKS?
CARISSA ANN BROOKS's record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with CARISSA ANN BROOKS?
Directory geography for CARISSA ANN BROOKS centers on Wilder, Vermont.
When was this NPI issued?
Enumeration for CARISSA ANN BROOKS is noted as February 1, 2021 where the registry provides it.

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