BROOK MARIE ANDERSON (PA) – Physician Assistant, NPI 1073151882

BROOK MARIE ANDERSON (PA) is a healthcare provider. based in Chicago, Illinois. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 085007668 (IL). The NPI Number for BROOK MARIE ANDERSON (PA) is 1073151882

Main info

Female
Name
BROOK MARIE ANDERSON (PA)
NPI
1073151882
Phone
(312) 864-6000
Address
1969 W OGDEN AVE
Enumeration Date
12 December 2019
Last Update Date
5 June 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for BROOK MARIE ANDERSON (PA)

  • 1969 W OGDEN AVE

    CHICAGO, IL 606123765

    Phone: (312) 864-6000

    Type: Mailing

  • 11630 135TH AVE

    HANSKA, MN 560414325

    Phone: (507) 766-3296

    Type: Mailing

  • 1411 DENVER AVE

    DALHART, TX 790224809

    Phone: (806) 244-4571

    Type: Location

  • 1411 Denver Ave

    Dalhart, TX 790224809

    Phone: (806) 244-4571

    Type: Location

  • 5140 N CALIFORNIA AVE.

    560-GMP

    CHICAGO, IL 606253645

    Phone: (773) 293-8878

    Fax: (773) 293-8879

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2023-07-14 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($43).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-14

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: 2020-11-18

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
I20201118000235IPhysician AssistantILTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3426$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3019$0
View full utilization report →

Insurance plans in this area (ZIP 60612)

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Reviews

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Frequently asked questions

Can I use this page to confirm BROOK MARIE ANDERSON (PA)'s NPI?
Yes. BROOK MARIE ANDERSON (PA) is listed with NPI 1073151882 in the public NPI dataset.
Can I rely on BROOK MARIE ANDERSON (PA) being an active provider?
As of the registry snapshot, BROOK MARIE ANDERSON (PA) is marked active.
What taxonomy line describes BROOK MARIE ANDERSON (PA)?
For research purposes, treat BROOK MARIE ANDERSON (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for BROOK MARIE ANDERSON (PA)?
BROOK MARIE ANDERSON (PA)'s geographic hint is Chicago, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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