Brooke Nicole Pruitt, ANP in Jonesboro, AR - Medicare Nurse Practitioner

Brooke Nicole Pruitt, ANP is a medicare enrolled "Nurse Practitioner" in Jonesboro, Arkansas. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeast Arkansas Clinic Charitable Foundation, Inc. and her current practice location is 4802 E Johnson Ave, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 936-8000.

Brooke Nicole Pruitt is licensed to practice in Arkansas (license number A003418) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093021826.

Contact Information

	Brooke Nicole Pruitt, ANP
	4802 E Johnson Ave, Jonesboro, AR 72401-8413
	(870) 936-8000
	(870) 934-3630

Map and Direction

Provider's Profile

Full Name	Brooke Nicole Pruitt
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	4802 E Johnson Ave, Jonesboro, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brooke Nicole Pruitt graduated from nursing school in 2010

NPI Data:

NPI Number: 1093021826
Provider Enumeration Date: 08/31/2010
Last Update Date: 02/25/2016

Medicare PECOS Information:

PECOS PAC ID: 9133312572
Enrollment ID: I20101019000217

Medical Identifiers

Medical identifiers for Brooke Nicole Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093021826	NPI	-	NPPES
185886758	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	A03418 ANP (Arkansas)	Secondary
363L00000X	Nurse Practitioner	A003418 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital Jonesboro, Inc.	Jonesboro, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Arkansas Clinic Charitable Foundation, Inc.	2961547526	247

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brooke Nicole Pruitt allows following entities to bill medicare on her behalf.

Entity Name	Northeast Arkansas Clinic Charitable Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brooke Nicole Pruitt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brooke Nicole Pruitt, ANP Po Box 1960, Jonesboro, AR 72403-1960 Ph: (870) 936-8000	Brooke Nicole Pruitt, ANP 4802 E Johnson Ave, Jonesboro, AR 72401-8413 Ph: (870) 936-8000

Reviews and Comments

Nurse Practitioner Nurses in Jonesboro, AR

Mrs. Renata Jane Vaughn, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Church St, Jonesboro, AR 72401 Phone: 870-802-3590 Fax: 870-327-7970
Sandra Troxel, DNP/APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2816 Fox Meadow Ln, Jonesboro, AR 72404 Phone: 870-336-1675
Jesse Ash, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Ms. Amy Mary Elizabeth Daughhetee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 East Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Candice Brianne Burnside, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-1630
Heather Stallings, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Neil Dr, Jonesboro, AR 72401 Phone: 870-898-0088
Katie J Hutton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Carson St, Jonesboro, AR 72401 Phone: 870-910-7726

Brooke Nicole Pruitt, ANP - Medicare Nurse Practitioner in Jonesboro, AR