BROOKVILLE EXPRESS CARE & WELLNESS CENTER
NPI 1144047440
Clinic/Center - Urgent Care in Brookville, OH
About Brookville Express Care & Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKVILLE EXPRESS CARE & WELLNESS CENTER (NPI 1144047440) is a healthcare organization registered as an urgent care in Brookville, Ohio and active in the NPI registry since September 2024. The organization lists Shelby Gonsales, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brookville Express Care & Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Brookville Express Care & Wellness Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D2311798
Brookville Express Care & Wellness Center · Brookville, OHFrequently 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 Brookville Express Care & Wellness Center's NPI number?
The NPI number for Brookville Express Care & Wellness Center is 1144047440. It was assigned to this organization in the NPPES registry on September 26, 2024.
Where is Brookville Express Care & Wellness Center located?
Brookville Express Care & Wellness Center is located at 430 Arlington Rd Ste B, Brookville, OH 45309. The listed phone number is (937) 641-9389.
What is Brookville Express Care & Wellness Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Brookville Express Care & Wellness Center enrolled in Medicare?
Yes. Brookville Express Care & Wellness Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brookville Express Care & Wellness Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Brookville Express Care & Wellness Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Brookville Express Care & Wellness Center was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brookville Express Care & Wellness Center · NPI 1144047440
Urgent Care organization in Brookville, Ohio. Organization record, active in the CMS NPPES registry since September 26, 2024.
## Identity
- **NPI:** 1144047440 (Entity type: Organization)
- **Enumerated:** September 26, 2024
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Shelby Gonsales, NURSE PRACTITIONER
## Practice location
- **Address:** 430 ARLINGTON RD STE B, Brookville, OH 45309-1103
- **Phone:** (937) 641-9389
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144047440) · Data from the CMS NPPES public registry.