1. Home
  2. Directory
  3. California
  4. Petaluma
  5. Nurse Practitioner
  6. NPI Profile

BROOKE COOPER RAVA FNP
NPI 1962120949
Nurse Practitioner - Family in Petaluma, CA

Active since August 16, 2022PECOS Enrolled
1456 PROFESSIONAL DR STE 405, PETALUMA, CA 94954(707) 769-7500 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brooke Cooper Rava Fnp NPPES

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

BROOKE COOPER RAVA FNP (NPI 1962120949) is an individual family provider in Petaluma, California, licensed in California (95022175) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962120949
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBROOKE COOPER RAVACredential: FNP
Location Address1456 PROFESSIONAL DR STE 405Petaluma, CA 94954-6639
Mailing Address26 Dupree CtPetaluma, CA 94954-6844
Phone(707) 769-7500
Sole ProprietorYes
Enumeration DateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
✔ NPI 1962120949 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 CA · 95022175
1456 PROFESSIONAL DR STE 405, Petaluma, CA 94954
Open in Google Maps ↗

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 Cooper Rava Fnp 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 94954 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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 2

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

MRS. FAYE SUSAN LUNDERGAN MD
Pediatrics
1456 PROFESSIONAL DR STE 405
PETALUMA, CA 94954
Sonoma County (707) 769-7500
PAUL F. CAMPION, M.D.
Durable Medical Equipment & Medical Supplies
1456 PROFESSIONAL DR STE 405
PETALUMA, CA 94954
Sonoma County (707) 763-6400

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 Rava's NPI number?

The NPI number for Brooke Rava is 1962120949. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Brooke Rava located?

Brooke Rava practices at 1456 Professional Dr Ste 405, Petaluma, CA 94954. The listed phone number is (707) 769-7500.

What is Brooke Rava's specialty?

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

Is Brooke Rava enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brooke Rava was last updated on August 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.