BROOKE MICHELLE VANCOPPENOLLE, RN — NPI 1982274593 (CMS-Certified Home Health Care & Skilled Nursing Agency in MINONK, IL)

CMS-1500 Box 24J / 33a • NPI

1982274593

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WH0200X

CMS-Certified Home Health Care & Skilled Nursing Agency

Box 32 Service Location & ZIP+4

707 W 4TH ST, MINONK, IL, 61760-1425

✓ 9-Digit EDI 837 ZIP+4 (61760-1425)

Practice Phone & Referral Fax

(815) 579-4093

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1982274593 (BROOKE MICHELLE VANCOPPENOLLE, RN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1982274593` (NPI-1 Individual Practitioner)
Provider / Legal Name	BROOKE MICHELLE VANCOPPENOLLE, RN
Plain-English Specialty	CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: `163WH0200X` (Registered Nurse, Home Health)
Certifying / Licensing Body	CMS Home Health Conditions of Participation / CHAP / ACHC
Practice Location Address	707 W 4TH ST, MINONK, IL, 61760-1425
Practice Telephone / Fax	Tel: (815) 579-4093
Administrative Mailing Address	707 W 4TH ST, MINONK, IL, 61760-1425
Enumeration & Last Sync	Enumerated: 2021-06-26 \| CMS Record Updated: 2021-06-26

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

707 W 4TH ST, MINONK, IL, 61760-1425

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Plain-English Taxonomy & CMS Crosswalk (163WH0200X)

What Does Taxonomy Code 163WH0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WH0200X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: CMS Home Health Conditions of Participation / CHAP / ACHC
Clinical Scope: Post-hospital discharge recovery, homebound skilled nursing, physical therapy after joint replacement, or home IV antibiotic therapy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BROOKE MICHELLE VANCOPPENOLLE, RN)

Typical CPT / Diagnostic Procedures:

In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation

Common Therapeutic Classes:

Home Infusion Antimicrobials, Anticoagulants & Insulin Titration

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WH0200X` — Registered Nurse, Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: IL \| License: `041316088` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BROOKE MICHELLE VANCOPPENOLLE, RN (NPI #1982274593)