BROOK LYNN DAKE FNP-C
NPI 1780169375
Nurse Practitioner - Family in Newberry, MI

Q: What is Brook Dake's NPI number?

The NPI number for Brook Dake is 1780169375. It was assigned to this individual provider in the NPPES registry on September 28, 2018. The provider is also known as Brook Lynn Derusha.

Q: What is Brook Dake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brook Dake was last updated on September 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 28, 2018PECOS EnrolledAccepts Medicare Assignment

502 W HARRIE ST, NEWBERRY, MI 49868(906) 293-9200 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Brook Lynn Dake Fnp-c NPPES

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

BROOK LYNN DAKE FNP-C (NPI 1780169375) is an individual family provider in Newberry, Michigan, licensed in Michigan (4704322308) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Helen Newberry Joy Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780169375

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBROOK LYNN DAKECredential: FNP-C

Location Address502 W HARRIE STNewberry, MI 49868-1209

Mailing Address315 W Victory WayNewberry, MI 49868-1647 · (906) 450-0729

Phone(906) 293-9200

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 28, 2018

✔ NPI 1780169375 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 MI · 4704322308

502 W HARRIE ST, Newberry, MI 49868

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Other Names 1

Former Name (1)Brook Lynn Derusha

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brook Lynn Dake Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507119989

PECOS Enrollment IDI20181101001380

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.

Helen Newberry Joy Hospital

Critical Access Hospitals · Newberry, MI

OwnershipGovernment - Local

CMS Certification Number231304

Location502 W Harrie StNewberry, MI 49868 · Luce County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49868 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

1 supplier13 claims21 services$2.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN GELINAS

Nurse Practitioner (Family)