Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke E Moore, APRNCNP

Individual provider Nurse Practitioner · NPI 1043791635

Brooke E Moore, APRNCNP is a Nurse Practitioner in Bryan, Ohio. Graduated from University of Toledo College of Medicine in 2018, 8 years ago. Practices with Midwest Community Health Associates, Inc, a 99-clinician group and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
8
Trained at
University of Toledo College of Medicine
Licensed in
IN, OH
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

433 W High St
Bryan, OH 43506-1690
Phone: (419) 630-2021
Fax: (419) 630-2022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.023018 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 71008662A (IN)

Record details

NPI number1043791635
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNCNP
Sole proprietorNo
NPI enumeratedAugust 22, 2018
Last updated in NPPESJuly 1, 2024
Certification dateFebruary 15, 2024
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Midwest Community Health Associates, Inc. — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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