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MRS. JESSICA NICOLE BROCK CRNP NPI 1053540450


NPI Information

NPI: 1053540450
Provider Name: MRS. JESSICA NICOLE BROCK, CRNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
5955 AIRPORT BLVD
MOBILE, AL
ZIP 36608
Phone: (251) 633-0573
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MRS. Jessica Nicole Brock, CRNP is an acute care nurse practitioner in Mobile, AL with 16 years of experience. MRS. Jessica Nicole Brock, CRNP NPI is 1053540450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5955 AIRPORT BLVD
MOBILE, AL
ZIP 36608
Phone: (251) 633-0573
Fax: (251) 633-7367

The NPI 1053540450 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Interpretation and report of electrical activity of heart using 1-3 leads (HCPCS:93042)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 7/7/2009 and was last updated on 2/23/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner1-106242ALABAMANo
2363LA2100XNurse PractitionerAcute Care1-106242ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1102I502393OTHERALABAMAMEDICARE
23092229OTHERALABAMAUHC
3512-05477OTHERALABAMABCBS
4134189MEDICAIDALABAMA
5222576MEDICAIDALABAMA
69582378OTHERALABAMAAETNA
7P00927530OTHERALABAMARR MEDICARE
8Z12803OTHERALABAMAVIVA HEALTH
902482035OTHERMISSISSIPPIMS MEDICAID
10510-49658OTHERALABAMABCBS
11214094MEDICAIDALABAMA
12512-05479OTHERALABAMABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.