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BROOKE M TENNIS
NPI 1720963572
Nurse Practitioner - Family in Amsterdam, NY

Active since August 11, 2025PECOS Enrolled
5010 STATE HIGHWAY 30 STE 204, AMSTERDAM, NY 12010(518) 842-8185 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brooke M Tennis NPPES

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

BROOKE M TENNIS (NPI 1720963572) is an individual family provider in Amsterdam, New York, licensed in New York (F357184-01) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720963572
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBROOKE M TENNIS
Location Address5010 STATE HIGHWAY 30 STE 204Amsterdam, NY 12010-7532
Mailing Address790 Stone Arabia RdFort Plain, NY 13339-1925 · (518) 774-1817
Phone(518) 842-8185
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 10, 2025
✔ NPI 1720963572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F357184-01
5010 STATE HIGHWAY 30 STE 204, Amsterdam, NY 12010
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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)

Brooke M Tennis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234629338
PECOS Enrollment IDI20251106004246
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330047
Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12010 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 Brooke Tennis's NPI number?

The NPI number for Brooke Tennis is 1720963572. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Brooke Tennis located?

Brooke Tennis practices at 5010 State Highway 30 Ste 204, Amsterdam, NY 12010. The listed phone number is (518) 842-8185.

What is Brooke Tennis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brooke Tennis enrolled in Medicare?

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

Is Brooke Tennis affiliated with any hospitals?

According to CMS data, Brooke Tennis is affiliated with St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Brooke Tennis was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.