KIMBERLY LEE BROCKLEHURST CNP
NPI 1649748310
Nurse Practitioner - Family in Lima, OH

Q: What is Kimberly Brocklehurst's NPI number?

The NPI number for Kimberly Brocklehurst is 1649748310. It was assigned to this individual provider in the NPPES registry on November 11, 2018.

Q: What is Kimberly Brocklehurst's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 11, 2018PECOS EnrolledAccepts Medicare Assignment

2195 ALLENTOWN RD, LIMA, OH 45805(419) 227-2245(419) 229-1573 Get Directions Write a Review

NPPES record last updated: October 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2024, Jul 18, 2024, Aug 22, 2023 and 3 more (6 updates tracked since 2018).

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About Kimberly Lee Brocklehurst Cnp NPPES

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

KIMBERLY LEE BROCKLEHURST CNP (NPI 1649748310) is an individual family provider in Lima, Ohio, licensed in Ohio (APRN.CNP.024119) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649748310

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY LEE BROCKLEHURSTCredential: CNP

Location Address2195 ALLENTOWN RDLima, OH 45805-1705

Mailing Address2195 Allentown RdLima, OH 45805-1705 · (419) 227-2245 · Fax (419) 229-1573

Phone(419) 227-2245

Fax(419) 229-1573

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 11, 2018

Last NPPES UpdateOctober 12, 20246 updates tracked since enumeration

NPPES CertifiedOctober 12, 2024

✔ NPI 1649748310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.024119

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 313177 (OH)

Also ListedPediatricsTaxonomy 208000000X · License ARRN.CNP.024119 (OH), APRN.CNP.024119 (OH)

2195 ALLENTOWN RD, Lima, OH 45805

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Secondary Practice Locations 2

Location 11550 N Main StLima, OH 45801-2823 · Phone (419) 549-5982 · Fax (419) 225-8878

Location 2730 W Market StLima, OH 45801-4602 · Phone (419) 226-9442 · Fax (419) 226-9826

Other Identifiers 3

OtherAPRN.CNP.024119OH · Certified Nurse Practitioner

Other3131777OH · Registerec Nurse

OtherAPRN.CNP.024119OH · Certfied Nurse Practitioner

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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

Kimberly Lee Brocklehurst 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 ID2961740972

PECOS Enrollment IDI20190218002159

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

15 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360066

Location730 West Market StreetLima, OH 45801 · Allen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45805 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.

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Other Providers at the Same Location NPPES 15

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

HOLLY A ARCHER CNP

Nurse Practitioner (Family)