Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Michelle Leavetha Brooks, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1861225666

MS. Michelle Leavetha Brooks, FNP-BC is a Nurse Practitioner in Ballwin, Missouri. Qualified in 2024, 2 years ago. Practices with Theoria Medical, a 342-clinician group and accepts Medicare assignment. Licensed in Alaska and Missouri.

Years since qualifying
2
Licensed in
AK, MO
In the registry since
2024
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

14400 Clayton Rd
Ballwin, MO 63011-2713
Phone: (866) 389-2727
Fax: (256) 827-5084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2025027141 (MO)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence 140862 (AK)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 231027 (AK)

Record details

NPI number1861225666
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 26, 2024
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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