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BROOKE WILLIS
NPI 1811524804
Pediatrics in New York, NY

Active since March 27, 2020PECOS Enrolled
1184 5TH AVE, NEW YORK, NY 10029(212) 241-9500 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 2, 2023, Mar 27, 2020 (2 updates tracked since 2020).

About Brooke Willis NPPES

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

BROOKE WILLIS (NPI 1811524804) is an individual pediatrics provider in New York, New York, licensed in New York (322744) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811524804
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBROOKE WILLIS
Location Address1184 5TH AVENew York, NY 10029-6503
Mailing Address1184 5th AveNew York, NY 10029-6503
Phone(212) 241-9500
Sole ProprietorNo
Enumeration DateMarch 27, 2020
Last NPPES UpdateMay 2, 20232 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
✔ NPI 1811524804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 322744
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1184 5TH AVE, New York, NY 10029
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Willis 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 Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore-Lij Medical PC
13 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

BRIANNA EVANS MD
Student in an Organized Health Care Education/Training Program
1184 5TH AVE
NEW YORK, NY 10029
New York County (212) 961-9500
DANIELLA KAY MD
Student in an Organized Health Care Education/Training Program
1184 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-9500
AMY YUE ZHAO
Student in an Organized Health Care Education/Training Program
1184 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-9500
SABERTINE EDOUARD NP
Nurse Practitioner (Family)
1184 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-6277
RACHEL MEHLMAN NP
Nurse Practitioner (Family)
1184 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-5426
MARIANA L HAND MD
Student in an Organized Health Care Education/Training Program
1184 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-9500
JULIET CHEN MD
Student in an Organized Health Care Education/Training Program
1184 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-9500
RACHEL MORENO RPA-C
Physician Assistant
1184 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-8213

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 Willis's NPI number?

The NPI number for Brooke Willis is 1811524804. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Brooke Willis located?

Brooke Willis practices at 1184 5th Ave, New York, NY 10029. The listed phone number is (212) 241-9500.

What is Brooke Willis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brooke Willis enrolled in Medicare?

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

Which organization bills Medicare for Brooke Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Willis reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). 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 Willis'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 Willis was last updated on May 2, 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.