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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANTAE BROOKS
NPI 1710736301
Nurse Practitioner - Psychiatric/Mental Health in Inkster, MI

Active since May 15, 2024PECOS Enrolled
3555 MEADOWDALE ST, INKSTER, MI 48141(313) 614-8940 Get Directions Write a Review

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

Record update history: Jul 22, 2026, May 15, 2024 (2 updates tracked since 2024).

About Shantae Brooks NPPES

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

SHANTAE BROOKS (NPI 1710736301) is an individual psychiatric/mental health provider in Inkster, Michigan, licensed in Michigan (4704298442) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1710736301
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANTAE BROOKS
Location Address3555 MEADOWDALE STInkster, MI 48141-2618
Mailing Address3555 Meadowdale StInkster, MI 48141-2618 · (313) 614-8940
Phone(313) 614-8940
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 15, 2024
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1710736301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704298442
3555 MEADOWDALE ST, Inkster, MI 48141
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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)

Shantae Brooks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244723336
PECOS Enrollment IDI20251205003705
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 48141 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Shantae Brooks's NPI number?

The NPI number for Shantae Brooks is 1710736301. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Shantae Brooks located?

Shantae Brooks practices at 3555 Meadowdale St, Inkster, MI 48141. The listed phone number is (313) 614-8940.

What is Shantae Brooks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shantae Brooks enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shantae Brooks was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.