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CICELY SIMONE BROOKS PA- C
NPI 1245507839
Physician Assistant in Chicago, IL

Active since November 26, 2011PECOS Enrolled
4177 S ARCHER AVE, CHICAGO, IL 60632(773) 932-1142 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cicely Simone Brooks Pa- C NPPES

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

CICELY SIMONE BROOKS PA- C (NPI 1245507839) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.004015) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245507839
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCICELY SIMONE BROOKSCredential: PA- C
Location Address4177 S ARCHER AVEChicago, IL 60632-1849
Mailing Address8543 W 102nd Ter, Building 4, Apt 313Palos Hills, IL 60465-1347 · (773) 824-6005
Phone(773) 932-1142
Sole ProprietorNo
Enumeration DateNovember 26, 2011
Last NPPES UpdateApril 22, 2021
NPPES CertifiedApril 22, 2021
✔ NPI 1245507839 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 · 085.004015
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.
4177 S ARCHER AVE, Chicago, IL 60632
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cicely Simone Brooks Pa- C 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 60632 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 10

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

ASHLEY MULTANI
Family Medicine
4177 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 254-2222
DAMARIS PERALTA APN
Nurse Practitioner (Family)
4177 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 254-2222
GUADALUPE TORRES APN
Nurse Practitioner (Family)
4177 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 254-2222
DORENDA LEWIS NP
Nurse Practitioner (Adult Health)
4177 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 254-2222
MR. KENNETH MICHAEL MARTIN DC
Chiropractor
4177 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 254-2222
SZU-HSIEN CHEN AGPCNP-BC
Nurse Practitioner (Primary Care)
4177 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 254-2222
DR. HARVEEN KAUR SOODAN M.D.
Family Medicine
4177 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 254-2222
TABITHA WATTS MD LTD
Clinic/Center
4177 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 932-1142

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 Cicely Brooks's NPI number?

The NPI number for Cicely Brooks is 1245507839. It was assigned to this individual provider in the NPPES registry on November 26, 2011.

Where is Cicely Brooks located?

Cicely Brooks practices at 4177 S Archer Ave, Chicago, IL 60632. The listed phone number is (773) 932-1142.

What is Cicely Brooks's specialty?

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

Is Cicely Brooks enrolled in Medicare?

Yes. Cicely Brooks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cicely Brooks was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.