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MRS. TAMARA KAYE BROCKMAN PNP
NPI 1639224140
Nurse Practitioner - Pediatrics in Springboro, OH

Active since January 24, 2007PECOS Enrolled
662 N MAIN ST, SPRINGBORO, OH 45066(937) 641-5066(937) 550-9797 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2026, Jan 19, 2026, Jun 11, 2025 and 6 more (9 updates tracked since 2021).

About Mrs. Tamara Kaye Brockman Pnp NPPES

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

MRS. TAMARA KAYE BROCKMAN PNP (NPI 1639224140) is an individual pediatrics provider in Springboro, Ohio, licensed in Ohio (APRN.CNP.05304) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains 13 additional practice locations.

NPPES Registry Identity

NPI1639224140
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. TAMARA KAYE BROCKMANCredential: PNP
Location Address662 N MAIN STSpringboro, OH 45066-9553
Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3000
Phone(937) 641-5066
Fax(937) 550-9797
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMay 28, 20269 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1639224140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OH · APRN.CNP.05304
662 N MAIN ST, Springboro, OH 45066
Open in Google Maps ↗

Secondary Practice Locations 13

Location 11425 N Fairfield Rd Ste 130Beavercreek, OH 45432-2674 · Phone (937) 320-1950
Location 21711 Germantown PikeDayton, OH 45417 · Phone (937) 641-3142 · Fax (937) 641-4172
Location 3792 Northwoods BlvdVandalia, OH 45377-9462 · Phone (937) 641-4236 · Fax (937) 641-4237
Location 43333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-5725 · Fax (937) 350-3050
Location 57787 Cox LnWest Chester, OH 45069-6549 · Phone (937) 641-5757 · Fax (513) 847-1192
Location 65501 Far Hills Ave Ste 200Dayton, OH 45429-2203 · Phone (937) 436-2866 · Fax (937) 436-1468
Location 74475 Far Hills AveKettering, OH 45429-2405 · Phone (937) 641-3141 · Fax (937) 641-3190
Location 8860 Valley St.Dayton, OH 45404 · Phone (937) 641-3060 · Fax (937) 641-3285
Location 93301 Dayton Xenia Rd Ste 200Beavercreek, OH 45432-2759 · Phone (937) 641-5098 · Fax (937) 912-9395
Location 101 Childrens PlzDayton, OH 45404-1815 · Phone (937) 641-3600 · Fax (937) 641-5802
Location 119000 N Main St Ste 332Englewood, OH 45415-1185 · Phone (937) 832-7337
Location 128501 Old Troy PikeHuber Heights, OH 45424-1054 · Phone (937) 641-4360 · Fax (937) 641-3791
Location 136044 Wilmington PikeDayton, OH 45459-7006 · Phone (937) 641-3270 · Fax (937) 641-6108

Other Identifiers 1

Medicaid2143933OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tamara Kaye Brockman Pnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tamara Brockman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dayton Children's Hospital
2.8 mi
Urgent Care
3333 W TECH RD
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Dayton Childrens Hospital
  • 165 clinicians in this Medicare group
NPI 1730392309 (937) 641-5725
Dayton Children's Specialty Physicians, Inc.
16 mi
Pediatrics
1 CHILDRENS PLZ
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
  • 479 clinicians in this Medicare group
NPI 1225192610 (937) 641-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45066 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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 13

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

PAULA A EICHMANN PNP
Nurse Practitioner (Pediatrics)
662 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 641-5066
KELSI NIKOLE GERDEMAN FNP-C, ENP-C
Nurse Practitioner (Family)
662 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 641-5066
NICOLE F GARRITANO PNP
Nurse Practitioner (Acute Care)
662 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 641-5066
MISS BONNIE L ALBERTINI FNP
Nurse Practitioner (Family)
662 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 641-5066
VANESSA LYNN DOUGLAS PNP
Nurse Practitioner (Pediatrics)
662 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 641-5066
MRS. HANNAH ELIZABETH WINKLER ARNP
Nurse Practitioner
662 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 641-5066
KRISTEN M CURINGTON FNP
Nurse Practitioner (Family)
662 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 641-5066
DR. LISA SUSAN ZIEMNIK MD
Pediatrics
662 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 641-5066

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 Tamara Brockman's NPI number?

The NPI number for Tamara Brockman is 1639224140. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Tamara Brockman located?

Tamara Brockman practices at 662 N Main St, Springboro, OH 45066. The listed phone number is (937) 641-5066.

What is Tamara Brockman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Tamara Brockman enrolled in Medicare?

Yes. Tamara Brockman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tamara Brockman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Brockman reassigns Medicare benefits to 2 organizations: Dayton Children's Hospital (Miamisburg, OH) and Dayton Children's Specialty Physicians, Inc. (Dayton, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tamara Brockman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamara Brockman accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Tamara 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.

When was this NPI record last updated?

The NPPES record for Tamara Brockman was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.