PAM LYNN BROKAW-MYERS (NP) – Family Nurse Practitioner, NPI 1467988790

PAM LYNN BROKAW-MYERS (NP) is a healthcare provider. based in Waynesville, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APRN.CNP 020349 (OH). The NPI Number for PAM LYNN BROKAW-MYERS (NP) is 1467988790

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
PAM LYNN BROKAW-MYERS (NP)
NPI
1467988790
Phone
(513) 897-3419
Address
5208 CORWIN RD
Enumeration Date
5 May 2017
Last Update Date
23 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372944487
Graduation Year
2016 (10 years ago)
PAC ID
9436429255
Group Practice PAC ID
0840104360
Professional Enrollment ID
I20170726002583
Address ID
OH454296404KE500XXBLVD401
Telehealth
Yes

Contacts

Secure Messaging
pbrokawmyers595522@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for PAM LYNN BROKAW-MYERS (NP)

  • 5208 CORWIN RD

    WAYNESVILLE, OH 450689455

    Phone: (513) 897-3419

    Type: Mailing

  • 500 LINCOLN PARK BLVD STE 110

    KETTERING, OH 454296410

    Phone: (937) 531-5020

    Fax: (937) 298-4385

    Type: Mailing

  • Lincoln Park Boulevard, Pasadena, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454296410

    Phone: (937) 531-5020

    Fax: (937) 298-4385

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170726002583INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes15983$0
99213Established patient office or other outpatient visit, 20-29 minutes3533$0
99442Telephone medical discussion with physician, 11-20 minutes1911$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1616$0
View full utilization report →

Insurance plans in this area (ZIP 45068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840104360View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to PAM LYNN BROKAW-MYERS (NP)?
NPI 1467988790 is assigned to PAM LYNN BROKAW-MYERS (NP) under the national enumeration system.
Is PAM LYNN BROKAW-MYERS (NP)'s NPI currently valid?
The extract we use shows PAM LYNN BROKAW-MYERS (NP) as active.
What kind of provider is PAM LYNN BROKAW-MYERS (NP)?
The page reflects Family Nurse Practitioner for PAM LYNN BROKAW-MYERS (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for PAM LYNN BROKAW-MYERS (NP)?
The page summarizes Waynesville, Ohio for PAM LYNN BROKAW-MYERS (NP); expand the address list for detail.
How can I contact PAM LYNN BROKAW-MYERS (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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