BROOKE FANNING PA - NPI 1891522371 - Physician Assistant in Lima, OH

Q: What is Brooke Fanning's NPI number?

The NPI number for Brooke Fanning is 1891522371. It was assigned to this individual provider in the NPPES registry on September 18, 2024. The provider is also known as Brooke Kimball.

Q: What is Brooke Fanning's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brooke Fanning was last updated on February 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brooke Fanning Pa NPPES

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

BROOKE FANNING PA (NPI 1891522371) is an individual physician assistant in Lima, Ohio, licensed in Ohio (50.009209RX) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891522371

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBROOKE FANNINGCredential: PA

Location Address830 W HIGH ST STE 360Lima, OH 45801-3985

Mailing Address830 W High St Ste 360Lima, OH 45801-3985

Phone(419) 227-7117

Sole ProprietorNo

Enumeration DateSeptember 18, 2024

Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1891522371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.009209RX

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

830 W HIGH ST STE 360, Lima, OH 45801

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Other Names 1

Former Name (1)Brooke Kimball

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Fanning Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45801 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

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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 7

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

CAMERON EVERETT PAPPA PA

Physician Assistant (Surgical)