Account Bulk check

Raeann Lynn Brodbeck, APRN

Nurse Practitioner, Family in Perrysburg, OH. Individual provider (NPI-1).

NPI number1679941561
StatusActive
Last updated in NPPESMar 28, 2025

Details

NPI
1679941561
Entity type
Individual (NPI-1)
Name
Mrs. Raeann Lynn Brodbeck
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 9, 2015
Certification date
Mar 28, 2025
Last updated
Mar 28, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyCOA.18416-NPOHYes
363LF0000X Nurse Practitioner, Family4074250685MI

Practice location

30000 E River Rd
Perrysburg, OH 43551-3429

Phone 419-931-3440 · Fax 419-661-4020

Mailing address

8900 Yankee Rd
Ottawa Lake, MI 49267-9554

Phone 734-888-1135

Other practice locations

8900 Yankee Rd
Ottawa Lake, MI 49267-9554

Phone 734-888-1135

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Perrysburg, OH

All 64 Family Nurse Practitioner providers in Perrysburg · All 1,261 providers in Perrysburg

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check