BROOKE ANN MACTAGGART CPNP-PC
NPI 1194507954
Nurse Practitioner - Pediatrics in Manchester, IA

Q: What is Brooke Mactaggart's NPI number?

The NPI number for Brooke Mactaggart is 1194507954. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Q: What is Brooke Mactaggart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Brooke Mactaggart was last updated on March 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 17, 2023PECOS Enrolled

105 E BUTLER ST, MANCHESTER, IA 52057(563) 927-9400(563) 927-6224 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Brooke Ann Mactaggart Cpnp-pc NPPES

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

BROOKE ANN MACTAGGART CPNP-PC (NPI 1194507954) is an individual pediatrics provider in Manchester, Iowa, licensed in Iowa (C176768) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194507954

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameBROOKE ANN MACTAGGARTCredential: CPNP-PC

Location Address105 E BUTLER STManchester, IA 52057-1606

Mailing Address715 Anderson StManchester, IA 52057-1401 · (319) 480-2540

Phone(563) 927-9400

Fax(563) 927-6224

Sole ProprietorNo

Enumeration DateOctober 17, 2023

Last NPPES UpdateMarch 29, 2024

NPPES CertifiedMarch 29, 2024

✔ NPI 1194507954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IA · C176768

105 E BUTLER ST, Manchester, IA 52057

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Ann Mactaggart Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52057 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

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 6

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

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