Kimberly Lee Brocklehurst, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.024119 Issued in OH

Practice address

2195 Allentown Rd
Lima, OH 45805-1705

Phone

(419) 227-2245

Fax

(419) 229-1573

NPI assigned

Nov 11, 2018

Last updated

Oct 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Partners of Western OhioGroup PAC ID 9436139987, 56 clinicians

Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbrocklehurst53928@direct.bsmhealth.org
• Direct secure messaging: kimberly.brocklehurst@hpwo.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Partners of Western Ohio

  dba Old West End Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1760952741
  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians Lima Specialty Care LLC

  • Surgery Physician
  • Lima, OH
  • NPI 1518589803

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Health Partners of Western Ohio

  dba Springfield Health Center

  • Federally Qualified Health Center (FQHC)
  • Holland, OH
  • NPI 1396605481
  NPD
• Health Partners of Western Ohio

  dba Tiffin Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Tiffin, OH
  • NPI 1518333749
  NPD
• Health Partners of Western Ohio

  dba Dr. Gene Wright Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lima, OH
  • NPI 1811932288
  NPD (past)
• Health Partners of Western Ohio

  dba Health Partners of Western Ohio - Quick Care

  • Federally Qualified Health Center (FQHC)
  • Lima, OH
  • NPI 1902228844
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health-St Ritas Medical Center LLC

  dba Inpatient Psych Unit

  • Psychiatric Hospital Unit
  • Lima, OH
  • NPI 1447276936
  Care Compare affiliation
• Mercy Health-St Ritas Medical Center LLC

  dba Mercy Health-St Rita's Medical Center

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1811939887
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1649748310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051705",
            "telephone_number": "419-227-2245",
            "fax_number": "419-229-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051705",
            "telephone_number": "419-227-2245",
            "fax_number": "419-229-1573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 N Main St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458012823",
            "country_code": "US",
            "telephone_number": "419-549-5982",
            "fax_number": "419-225-8878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 W Market St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458014602",
            "country_code": "US",
            "telephone_number": "419-226-9442",
            "fax_number": "419-226-9826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKLEHURST",
        "first_name": "KIMBERLY",
        "middle_name": "LEE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-11",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024119",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OH",
            "license": "313177",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "ARRN.CNP.024119",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.024119",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTEREC NURSE",
            "identifier": "3131777",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTFIED NURSE PRACTITIONER",
            "identifier": "APRN.CNP.024119",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIONER",
            "identifier": "APRN.CNP.024119",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bright Beginnings LLC
• Bevra S Brinkman, APRN,BC,CNS
• Julie Anne Brinkman
• Bree Brite
• Brianna Britton
• Jared Brodman, LPN
• Chad A Broering, M.D.
• Samantha Renee Brooks
• Shirlynn Brooks
• Zachariah C Broshes, PHARMD

• Family Nurse Practitioner in Lima, OH
• Providers in Lima, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.