1. Home
  2. Directory
  3. Oregon
  4. Salem
  5. Nurse Practitioner
  6. NPI Profile

BROOKE REAVIS
NPI 1487333928
Nurse Practitioner in Salem, OR

Active since July 12, 2023PECOS Enrolled
1015 3RD ST NW, SALEM, OR 97304(503) 588-3600 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2023, Jul 12, 2023 (2 updates tracked since 2023).

About Brooke Reavis NPPES

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

BROOKE REAVIS (NPI 1487333928) is an individual nurse practitioner in Salem, Oregon, licensed in Oregon (10010750) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487333928
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBROOKE REAVIS
Location Address1015 3RD ST NWSalem, OR 97304-4007
Mailing Address1015 3rd St NwSalem, OR 97304-4007
Phone(503) 588-3600
Sole ProprietorNo
Enumeration DateJuly 12, 2023
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1487333928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OR · 10010750
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1015 3RD ST NW, Salem, OR 97304
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Reavis 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.

Medicare Billing Reassignment

Medicare enrollment records show Brooke Reavis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Willamette Valley Hospice Inc
Same address
Hospice Care, Community Based
1015 3RD ST NW
Salem, OR 97304
  • Reassigned Medicare billing, Oregon enrollment
  • 7 clinicians in this Medicare group
NPI 1093715070 (503) 588-3600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97304 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

WILLAMETTE VALLEY HOSPICE INC
Hospice Care, Community Based
1015 3RD ST NW
SALEM, OR 97304
Polk County (503) 588-3600
HEATHER POORE
Registered Nurse
1015 3RD ST NW
SALEM, OR 97304
Polk County (503) 588-3600
DR. SHEILA LYNN SUND M.D.
Psychiatry & Neurology (Neurology)
1015 3RD ST NW
SALEM, OR 97304
Polk County (503) 588-3600
DR. DEANNA K BOWER D.O.
Internal Medicine (Hospice and Palliative Medicine)
1015 3RD ST NW
SALEM, OR 97304
Polk County (503) 588-3600
NANCY S BOUTIN M.D.
Radiology (Hospice and Palliative Medicine)
1015 3RD ST NW
SALEM, OR 97304
Polk County (503) 588-3600
DIANA NICHOLSON-NELSON LCSW, MSW
Social Worker (Clinical)
1015 3RD ST NW
SALEM, OR 97304
Polk County (503) 588-3600

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 Brooke Reavis's NPI number?

The NPI number for Brooke Reavis is 1487333928. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Where is Brooke Reavis located?

Brooke Reavis practices at 1015 3rd St NW, Salem, OR 97304. The listed phone number is (503) 588-3600.

What is Brooke Reavis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brooke Reavis enrolled in Medicare?

Yes. Brooke Reavis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brooke Reavis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Reavis reassigns Medicare benefits to Willamette Valley Hospice Inc (Salem, OR). The 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 Brooke Reavis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brooke Reavis was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.