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Brooke Fanning , PA

Physician Assistant β€’ Lima, OH

Active NPI 1891522371 Individual Practitioner Female Practitioner
Practice location in NPPES

830 W High St Ste 360
Lima, OH 458013985

Call 4192277117 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

830 W High St Ste 360

Lima, OH 458013985

Telephone 4192277117

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Brooke Fanning has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Brooke Fanning as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lima and Ohio

95 active clinicians are listed under Physician Assistant with a practice address in Lima, OH (5,329 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lima

7.4% of these 95 clinicians have the CMS telehealth indicator.

76.8% of these 95 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.009209RX

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250224002917

Enrollment State Jurisdiction

OH

PECOS Control ID

9830619634

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
NPI 1396961983

Doctor of Medicine (M.D.)

Korinna Dillon

Physician Assistant

NPI 1831961390
NPI 1649598004

Doctor of Medicine (M.D.)

Tara Gilles , FNP, CNP

Nurse Practitioner - Family

NPI 1508245655

Family Nurse Practitioner, Certified Nurse Practitioner

Courtney Hoover , PA-C

Physician Assistant

NPI 1841500618

Physician Assistant (Certified)

Brooke Lange , PA-C

Physician Assistant - Medical

NPI 1093103038

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location February 06, 2026

Registered at 830 W HIGH ST STE 360, LIMA, OH 458013985 (Tel: 4192277117)

πŸ“
Updated Business Mailing Address February 06, 2026

Registered at 830 W HIGH ST STE 360, LIMA, OH 458013985

πŸ‘€
Provider Name / Credentials Updated February 06, 2026

Recorded as BROOKE FANNING, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2026

Physician Assistant (license number reported to NPPES: OH 50.009209RX)

πŸ‘€
Provider Name / Credentials Updated May 13, 2025

Recorded as BROOKE FANNING

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2025

Physician Assistant

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2025

Physician Assistant (license number reported to NPPES: OH 50.009209RX)

βœ…
NPI Profile Active September 18, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 18, 2024

Registered at 15429 ROAD 19, FORT JENNINGS, OH 458449741 (Tel: 4192364883)

πŸ“
Business Mailing Address (Initial Record) September 18, 2024

Registered at 15429 ROAD 19, FORT JENNINGS, OH 458449741 (Tel: 4192364883)

πŸ‘€
Provider Name / Credentials (Initial Record) September 18, 2024

Recorded as BROOKE KIMBALL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2024

Physician Assistant

🟒
Initial NPI Registration & Enumeration September 18, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891522371
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2024
Last Update: February 06, 2026
Sole Proprietor: No

Other Physician Assistants in Lima

All Physician Assistants in Lima

Mailing Address

830 W High St Ste 360

Lima, OH 458013985

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.