BROOKE A FENNEMAN RD
NPI 1669131850
Dietitian, Registered in Indianapolis, IN

Q: What is Brooke Fenneman's NPI number?

The NPI number for Brooke Fenneman is 1669131850. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Q: What is Brooke Fenneman's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Brooke Fenneman was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since December 15, 2021Accepts Medicare Assignment

7240 SHADELAND STA STE 200, INDIANAPOLIS, IN 46256(317) 621-2677(317) 621-2676 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 16, 2023, Jan 10, 2022, Dec 15, 2021 (3 updates tracked since 2021).

On this page

About Brooke A Fenneman Rd NPPES

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

BROOKE A FENNEMAN RD (NPI 1669131850) is an individual dietitian, registered in Indianapolis, Indiana, licensed in Indiana (37002005A) and active in the NPI registry since December 2021. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1669131850

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameBROOKE A FENNEMANCredential: RD

Location Address7240 SHADELAND STA STE 200Indianapolis, IN 46256-3968

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890

Phone(317) 621-2677

Fax(317) 621-2676

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateDecember 15, 2021

Last NPPES UpdateMay 16, 20233 updates tracked since enumeration

NPPES CertifiedMay 16, 2023

✔ NPI 1669131850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in IN · 37002005A✔ Licensed in IN · 964543

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

7240 SHADELAND STA STE 200, Indianapolis, IN 46256

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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

Brooke A Fenneman Rd 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 ID9335506740

PECOS Enrollment IDI20230530002988

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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

$0.00 typical visit price

range $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

APRIL KLEBER RD

Dietitian, Registered