NICOLE BROCKMAN PNP, MSN, BSN
NPI 1467170472
Nurse Practitioner - Pediatrics in Saint Louis, MO
About Nicole Brockman Pnp, Msn, Bsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE BROCKMAN PNP, MSN, BSN (NPI 1467170472) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2021009743) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Nicole Brockman Pnp, Msn, Bsn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Nicole Brockman's NPI number?
The NPI number for Nicole Brockman is 1467170472. It was assigned to this individual provider in the NPPES registry on August 16, 2022.
Where is Nicole Brockman located?
Nicole Brockman practices at 4400 Clayton Ave, Saint Louis, MO 63110. The listed phone number is (314) 432-3600.
What is Nicole Brockman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Nicole Brockman enrolled in Medicare?
Yes. Nicole Brockman is registered in the Medicare PECOS enrollment system.
What insurance does Nicole Brockman accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Medica list Nicole Brockman 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 Nicole Brockman was last updated on August 16, 2022. 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.
# Nicole Brockman, PNP, MSN, BSN · NPI 1467170472
Pediatrics physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since August 16, 2022.
## Identity
- **NPI:** 1467170472 (Entity type: Individual)
- **Enumerated:** August 16, 2022
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 2021009743 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 4400 CLAYTON AVE, Saint Louis, MO 63110-1624
- **Phone:** (314) 432-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 16, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1467170472) · Data from the CMS NPPES public registry.