BROOKSIDE MEDICAL HOME VISITS LLC
NPI 1306339742
Nurse Practitioner - Family in Clay City, IN

Active since June 11, 2018
265 W COUNTY ROAD 850 S, CLAY CITY, IN 47841(812) 229-8707(812) 442-2781 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2019, Jun 12, 2018 (2 updates tracked since 2018).

About Brookside Medical Home Visits Llc NPPES

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

BROOKSIDE MEDICAL HOME VISITS LLC (NPI 1306339742) is a healthcare organization registered as a family in Clay City, Indiana and active in the NPI registry since June 2018. The organization lists Shauna E Poe-ames, Provider, as its authorized official.

NPPES Registry Identity

NPI1306339742
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBROOKSIDE MEDICAL HOME VISITS LLC
Location Address265 W COUNTY ROAD 850 SClay City, IN 47841-8210
Mailing Address265 W County Road 850 SClay City, IN 47841-8210 · (812) 229-8707 · Fax (812) 442-2781
Fax(812) 442-2781
Organization SubpartNo
Authorized OfficialShauna E Poe-amesProvider · (812) 229-8707
Enumeration DateJune 11, 2018
Last NPPES UpdateMay 8, 20192 updates tracked since enumeration
✔ NPI 1306339742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
265 W COUNTY ROAD 850 S, Clay City, IN 47841

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brookside Medical Home Visits Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Brookside Medical Home Visits LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner12
Emergency Medicine1
Geriatric Medicine1

Clinicians, nearest first (14)

Nurse Practitioner
NPI 1205698578
265 W COUNTY ROAD 850 S
Clay City, IN 47841
(317) 604-0101
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1124096193
1214 E NATIONAL AVE STE 90A
Brazil, IN 47834
(812) 442-2900
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1871263731
2723 S 7TH ST STE A
Terre Haute, IN 47802
(812) 232-8164
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1144717000
309 MEDIC WAY
Greencastle, IN 46135
(765) 653-2626
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1730635681
3834 S. EMERSON AVE BLDG C, STE 100
Indianapolis, IN 46203
(317) 782-1577
✔ PECOS✔ Accepts Medicare63 mi
Geriatric Medicine
NPI 1003817297
1400 N RITTER AVE STE 231
Indianapolis, IN 46219
(317) 621-4657
✔ PECOS✔ Accepts Medicare66 mi
Nurse Practitioner
NPI 1902826084
1427 W 86TH ST SUITE 152
Indianapolis, IN 46260
(317) 771-1140
✔ PECOS✔ Accepts Medicare66 mi
Nurse Practitioner
NPI 1730931692
9011 N MERIDIAN ST STE 225
Indianapolis, IN 46260
(317) 574-4747
✔ PECOS✔ Accepts Medicare67 mi
Nurse Practitioner
NPI 1053584276
1200 W CARMEL DR STE 103
Carmel, IN 46032
(317) 709-0706
✔ PECOS✔ Accepts Medicare70 mi
Nurse Practitioner
NPI 1962050146
2451 INTELLIPLEX DR
Shelbyville, IN 46176
(317) 392-3211
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1558687178
3909 NEW VISION DR
Fort Wayne, IN 46845
(260) 469-6610
✔ PECOS✔ Accepts Medicare169 mi
Nurse Practitioner
NPI 1578090650
211 N EDDY ST
South Bend, IN 46617
(574) 204-6739
✔ PECOS✔ Accepts Medicare171 mi
Emergency Medicine
NPI 1487712360
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4444
✔ PECOS✔ Accepts Medicare3,051 mi
Nurse Practitioner
NPI 1205547205
263 W FAIRVIEW AVE
Homer, AK 99603
(907) 435-3070
✔ PECOS3,070 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Brookside Medical Home Visits LLC's NPI number?

The NPI number for Brookside Medical Home Visits LLC is 1306339742. It was assigned to this organization in the NPPES registry on June 11, 2018.

Where is Brookside Medical Home Visits LLC located?

Brookside Medical Home Visits LLC is located at 265 W County Road 850 S, Clay City, IN 47841. The listed phone number is (812) 229-8707.

What is Brookside Medical Home Visits LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brookside Medical Home Visits LLC enrolled in Medicare?

Yes. Brookside Medical Home Visits LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brookside Medical Home Visits LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Brookside Medical Home Visits LLC. 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. The largest specialties are Nurse Practitioner (12), Emergency Medicine (1) and Geriatric Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brookside Medical Home Visits LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Brookside Medical Home Visits LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brookside Medical Home Visits LLC was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.