BROOKE NICOLE DEWEESE P.A.
NPI 1174867279
Physician Assistant - Medical in Pueblo West, CO

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment
121 S. CRESCENT DRIVE, PUEBLO WEST, CO 81007(719) 595-7575(719) 288-2799 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2016, Feb 15, 2016 (2 updates tracked since 2016).

About Brooke Nicole Deweese P.a. NPPES

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

BROOKE NICOLE DEWEESE P.A. (NPI 1174867279) is an individual medical provider in Pueblo West, Colorado, licensed in Colorado (PA.0003584) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174867279
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBROOKE NICOLE DEWEESECredential: P.A.
Location Address121 S. CRESCENT DRIVEPueblo West, CO 81007-5433
Mailing AddressPo Box 560825Denver, CO 80256-0825 · (719) 595-7580 · Fax (719) 545-0176
Fax(719) 288-2799
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 15, 2012
Last NPPES UpdateMarch 2, 20162 updates tracked since enumeration
NPI 1174867279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · PA.0003584
121 S. CRESCENT DRIVE, Pueblo West, CO 81007

Other Identifiers 2

Medicare PIN467903YK2DCO
Medicaid89056779CO

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 Nicole Deweese P.a. 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 ID2668775941
PECOS Enrollment IDI20160120001230
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
73%41 patients4/55-star benchmark: 93%
Cervical Cancer Screening
46%101 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
23%304 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
84%32 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
8%25 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
32%25 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%308 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%172 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
66%120 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%246 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 65% · 162 patients
60%162 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
62%26 patients2/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$81.28 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Family Medicine
121 S. CRESCENT DRIVE, SUITE B
PUEBLO WEST, CO 81007
Family Medicine
121 S. CRESCENT DRIVE
PUEBLO WEST, CO 81007

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 Deweese's NPI number?

The NPI number for Brooke Deweese is 1174867279. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Brooke Deweese located?

Brooke Deweese practices at 121 S. Crescent Drive, Pueblo West, CO 81007. The listed phone number is (719) 595-7575.

What is Brooke Deweese's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brooke Deweese enrolled in Medicare?

Yes. Brooke Deweese 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.

When was this NPI record last updated?

The NPPES record for Brooke Deweese was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.