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MRS. KELSEY RENEE BROKAMP ANP-BC NPI 1790039196


NPI Information

NPI: 1790039196
Provider Name: MRS. KELSEY RENEE BROKAMP, ANP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: GASTRO-INTESTINAL ASSOCIATES, INC

PECOS Registration: Yes

Address:
140 FOX RD
VAN WERT, OH
ZIP 45891
Phone: (419) 238-7727
Get Directions

MRS. Kelsey Renee Brokamp, ANP-BC is an adult health nurse practitioner in Van Wert, OH with 12 years of experience. MRS. Kelsey Renee Brokamp, ANP-BC NPI is 1790039196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

140 FOX RD
VAN WERT, OH
ZIP 45891-475
Phone: (419) 238-7727
Fax: (419) 238-7768

The NPI 1790039196 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Hemoglobin A1C level (HCPCS:83036)
  • Stool analysis for blood to screen for colon tumors (HCPCS:82270)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 11/7/2012 and was last updated on 12/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthNP13989OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10080308MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.