KRISTIN BROOKS PMHNP LLC
NPI 1720453111
Nurse Practitioner - Psychiatric/Mental Health in Bend, OR
About Kristin Brooks Pmhnp Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN BROOKS PMHNP LLC (NPI 1720453111) is a healthcare organization registered as a psychiatric/mental health in Bend, Oregon and active in the NPI registry since December 2015. The organization lists Kristin Brooks, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Kristin Brooks Pmhnp Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kristin Brooks Pmhnp LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kristin Brooks Pmhnp LLC's NPI number?
The NPI number for Kristin Brooks Pmhnp LLC is 1720453111. It was assigned to this organization in the NPPES registry on December 10, 2015.
Where is Kristin Brooks Pmhnp LLC located?
Kristin Brooks Pmhnp LLC is located at 965 SW Emkay Dr Ste. 200, Bend, OR 97702. The listed phone number is (541) 350-6913.
What is Kristin Brooks Pmhnp LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kristin Brooks Pmhnp LLC enrolled in Medicare?
Yes. Kristin Brooks Pmhnp LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kristin Brooks Pmhnp LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kristin Brooks Pmhnp 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kristin Brooks Pmhnp LLC accept?
Health plans from Providence Health Plan list Kristin Brooks Pmhnp 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 Kristin Brooks Pmhnp LLC was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kristin Brooks Pmhnp Llc · NPI 1720453111
Psychiatric/Mental Health organization in Bend, Oregon. Organization record, active in the CMS NPPES registry since December 10, 2015.
## Identity
- **NPI:** 1720453111 (Entity type: Organization)
- **Enumerated:** December 10, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Kristin Brooks, OWNER
## Practice location
- **Address:** 965 SW EMKAY DR, STE. 200, Bend, OR 97702-3598
- **Phone:** (541) 350-6913
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1720453111) · Data from the CMS NPPES public registry.