BROOKE WOLD DMS, PA-C
NPI 1134969637
Physician Assistant in Hazel Crest, IL

Active since May 31, 2024PECOS EnrolledAccepts Medicare Assignment
17800 KEDZIE AVE, HAZEL CREST, IL 60429(708) 213-4200(708) 213-0144 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brooke Wold Dms, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE WOLD DMS, PA-C (NPI 1134969637) is an individual physician assistant in Hazel Crest, Illinois, licensed in Illinois (085.010072) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134969637
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBROOKE WOLDCredential: DMS, PA-C
Location Address17800 KEDZIE AVEHazel Crest, IL 60429-2029
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757
Fax(708) 213-0144
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 31, 2024
Last NPPES UpdateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
NPI 1134969637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085.010072
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

17800 KEDZIE AVE, Hazel Crest, IL 60429

Secondary Practice Locations 2

Location 1250 Center Dr Ste 201Vernon Hills, IL 60061-1582 · Phone (847) 367-8815
Location 22320 E 93rd StChicago, IL 60617-3909 · Phone (773) 967-5430 · Fax (773) 967-4205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brooke Wold Dms, Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254822778
PECOS Enrollment IDI20251112003766
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Occupational Therapist
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Psychiatry & Neurology (Psychiatry)
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Occupational Therapist
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Family Medicine
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Physician Assistant
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Nurse Practitioner (Neonatal, Critical Care)
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Emergency Medicine
17800 KEDZIE AVE
HAZEL CREST, IL 60429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Wold's NPI number?

The NPI number for Brooke Wold is 1134969637. It was assigned to this individual provider in the NPPES registry on May 31, 2024.

Where is Brooke Wold located?

Brooke Wold practices at 17800 Kedzie Ave, Hazel Crest, IL 60429. The listed phone number is (708) 213-4200.

What is Brooke Wold's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brooke Wold enrolled in Medicare?

Yes. Brooke Wold is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Brooke Wold affiliated with any hospitals?

According to CMS data, Brooke Wold is affiliated with Advocate Trinity Hospital.

When was this NPI record last updated?

The NPPES record for Brooke Wold was last updated on November 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.