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

Brooke Nicole Fenn, PA

Individual provider Physician Assistant · NPI 1700307287

Brooke Nicole Fenn, PA is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2017, 9 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
9
Licensed in
LA
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8080 Bluebonnet Blvd Ste 2000
Baton Rouge, LA 70810-7827
Phone: (225) 924-2424
Fax: (225) 408-7980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7566 Picardy Ave, Baton Rouge, LA 70808-4333 — (225) 765-5500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 305547 (LA)

Record details

NPI number1700307287
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 5, 2017
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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