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BROOKE OSBORNE EDMISTEN PA-C
NPI 1811977184
Physician Assistant in Greensboro, NC

Active since January 20, 2006PECOS Enrolled
1126 N CHURCH ST, SUITE 300, GREENSBORO, NC 27401(336) 547-1752(336) 547-1858 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brooke Osborne Edmisten Pa-c NPPES

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

BROOKE OSBORNE EDMISTEN PA-C (NPI 1811977184) is an individual physician assistant in Greensboro, North Carolina, licensed in North Carolina (0010-00129) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1811977184
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBROOKE OSBORNE EDMISTENCredential: PA-C
Location Address1126 N CHURCH ST, SUITE 300Greensboro, NC 27401-1000
Mailing Address1126 N Church St, Suite 300Greensboro, NC 27401-1000 · (336) 547-1752 · Fax (336) 547-1858
Phone(336) 547-1752
Fax(336) 547-1858
Sole ProprietorNo
Enumeration DateJanuary 20, 2006
Last NPPES UpdateOctober 16, 2019
✔ NPI 1811977184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-00129
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1126 N CHURCH ST, Greensboro, NC 27401
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Secondary Practice Location 1

Location 1Medical Center BlvdWinston Salem, NC 27157-1000 · Phone (336) 716-2255

Other Identifiers 1

Medicaid8101245NC

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 Osborne Edmisten Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

MRS. KAREN LOUISE ECHERD CORNELIUSSEN M.S., C.G.C.
Genetic Counselor, MS
1126 N CHURCH ST, SUITE 203
GREENSBORO, NC 27401
Guilford County (336) 235-0944
JILL MCDANIEL NURSE PRACTITIONER
Nurse Practitioner (Gerontology)
1126 N CHURCH ST
GREENSBORO, NC 27401
Guilford County (336) 938-0800
MOSES CONE AFFILIATED PHYSICIANS
Internal Medicine (Cardiovascular Disease)
1126 N CHURCH ST, SUITE 300
GREENSBORO, NC 27401
Guilford County (336) 547-1752
DR. EDMUND JOSEPH LEBAUER M.D.
Internal Medicine
1126 N CHURCH ST, SUITE 300
GREENSBORO, NC 27401
Guilford County (336) 547-1700
DR. MARY HERRING PARKER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1126 N CHURCH ST, SUITE 300
GREENSBORO, NC 27401
Guilford County (336) 547-1752
CHRISTOPHER P. FENDER, MD, PLLC
Plastic Surgery
1126 N CHURCH ST, SUITE 101
GREENSBORO, NC 27401
Guilford County (336) 275-0919
JOHN P. GOODMAN D.D.S.
Dentist (General Practice)
1126 N CHURCH ST, SUITE 102
GREENSBORO, NC 27401
Guilford County (336) 370-4040
RHONDA G. BARRETT PA-C
Physician Assistant
1126 N CHURCH ST, STE 300
GREENSBORO, NC 27401
Guilford County (336) 547-1700

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 Edmisten's NPI number?

The NPI number for Brooke Edmisten is 1811977184. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Brooke Edmisten located?

Brooke Edmisten practices at 1126 N Church St Suite 300, Greensboro, NC 27401. The listed phone number is (336) 547-1752.

What is Brooke Edmisten's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brooke Edmisten enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brooke Edmisten was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.