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JULIE ANNE BROCKMAN APRN-CNP
NPI 1104668102
Family Medicine - Addiction Medicine in Grandville, MI

Active since June 10, 2024PECOS EnrolledAccepts Medicare Assignment
3584 FAIRLANES AVE SW STE 2, GRANDVILLE, MI 49418(616) 797-2124 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, Sep 19, 2024, Jun 10, 2024 (3 updates tracked since 2024).

About Julie Anne Brockman Aprn-cnp NPPES

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

JULIE ANNE BROCKMAN APRN-CNP (NPI 1104668102) is an individual addiction medicine provider in Grandville, Michigan, licensed in Michigan (4704438112) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Madison Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104668102
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameJULIE ANNE BROCKMANCredential: APRN-CNP
Location Address3584 FAIRLANES AVE SW STE 2Grandville, MI 49418-1583
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (740) 956-1360 · Fax (740) 869-1160
Phone(616) 797-2124
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 10, 2024
Last NPPES UpdateJune 1, 20263 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1104668102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in MI · 4704438112
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN.CNP.0036640 (OH)
3584 FAIRLANES AVE SW STE 2, Grandville, MI 49418
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1164 E Main StMount Sterling, OH 43143-1145 · Phone (740) 956-1360 · Fax (740) 869-1160
Location 21585 Neil AveColumbus, OH 43210-1216 · Phone (614) 292-4041

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Julie Anne Brockman Aprn-cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315470291
PECOS Enrollment IDI20241030003774
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Madison Health

Acute Care Hospitals · London, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360189
Location210 North Main StreetLondon, OH 43140 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49418 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 14

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

MS. DAESHA LYNNE CANALES LPN
Licensed Practical Nurse
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
HEATHER NICHOLE LITTLE B.S.
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
MR. TOMMIE EARL JOHNSON LLMSW
Prevention Professional
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
TORI TRUAX BS
Case Manager/Care Coordinator
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
MS. JENNIFER BALANGUE BARNETT
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
REYNA BECKER RABAGO MS
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
ANGELA LONG
Counselor
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
CHANIYA CLARK LLBSW
Social Worker
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 797-2124

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 Julie Brockman's NPI number?

The NPI number for Julie Brockman is 1104668102. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Julie Brockman located?

Julie Brockman practices at 3584 Fairlanes Ave SW Ste 2, Grandville, MI 49418. The listed phone number is (616) 797-2124.

What is Julie Brockman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Julie Brockman enrolled in Medicare?

Yes. Julie Brockman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Julie Brockman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Julie Brockman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Julie Brockman affiliated with any hospitals?

According to CMS data, Julie Brockman is affiliated with Madison Health.

When was this NPI record last updated?

The NPPES record for Julie Brockman was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.