MRS. KELLY LYNN BROOKS PA-C
NPI 1366689358
Physician Assistant - Surgical in Fillmore, CA
About Mrs. Kelly Lynn Brooks Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY LYNN BROOKS PA-C (NPI 1366689358) is an individual surgical provider in Fillmore, California, licensed in California (20091) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Kelly Lynn Brooks Pa-c 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.
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.
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 Kelly Brooks's NPI number?
The NPI number for Kelly Brooks is 1366689358. It was assigned to this individual provider in the NPPES registry on January 13, 2009.
Where is Kelly Brooks located?
Kelly Brooks practices at 828 W Ventura St Ste 100, Fillmore, CA 93015. The listed phone number is (805) 524-2000.
What is Kelly Brooks's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kelly Brooks enrolled in Medicare?
Yes. Kelly Brooks 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 Kelly Brooks was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Kelly Lynn Brooks, PA-C · NPI 1366689358
Surgical physician in Fillmore, California. Individual provider, active in the CMS NPPES registry since January 13, 2009.
## Identity
- **NPI:** 1366689358 (Entity type: Individual)
- **Enumerated:** January 13, 2009
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 20091 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 828 W VENTURA ST STE 100, Fillmore, CA 93015-1877
- **Phone:** (805) 524-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** December 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1366689358) · Data from the CMS NPPES public registry.