Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891522371 Individual Practitioner Female Practitioner

Brooke Fanning , PA

Physician Assistant • Lima, OH

Professional Overview & Biography Verified Profile Summary

Brooke Fanning, PA is a registered healthcare professional specializing in Physician Assistant in Lima, OH. Practice services are available at 830 W HIGH ST STE 360 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

830 W High St Ste 360

Lima, OH 458013985

Telephone 4192277117

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lima, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
95 Specialists

Practicing in Lima, OH (5376 Statewide)

Telehealth Adoption Rate
7.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Cameron Pappa , PA

Physician Assistant - Surgical

NPI 1033760244

Physician Assistant

Brooke Lange , PA-C

Physician Assistant - Medical

NPI 1093103038

Physician Assistant (Certified)

Emma Ruga , PA

Physician Assistant

NPI 1144011826

Physician Assistant

Taran Mcmillan

Physician Assistant

NPI 1326926288
NPI 1336147255

Doctor of Osteopathic Medicine (D.O.)

NPI 1396961983

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location February 06, 2026

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

📍
Updated Business Mailing Address February 06, 2026

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

👤
Provider Name / Credentials Updated February 06, 2026

Recorded as BROOKE FANNING, PA

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

Physician Assistant (License #50.009209RX in OH)

👤
Provider Name / Credentials Updated May 13, 2025

Recorded as BROOKE FANNING

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

Physician Assistant

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

Physician Assistant (License #50.009209RX in OH)

NPI Profile Active September 18, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2024

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

📍
Updated Business Mailing Address September 18, 2024

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

👤
Provider Name / Credentials Updated September 18, 2024

Recorded as BROOKE KIMBALL

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

830 W High St Ste 360

Lima, OH 458013985

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.