CANDACE BROSNECK — NPI 1083548259 (Licensed & Credentialed Case Manager/Care Coordinator in ARCHBOLD, OH)

CMS-1500 Box 24J / 33a • NPI

1083548259

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

171M00000X

Licensed & Credentialed Case Manager/Care Coordinator

Box 32 Service Location & ZIP+4

22897 US HIGHWAY 20A, ARCHBOLD, OH, 43502-9138

✓ 9-Digit EDI 837 ZIP+4 (43502-9138)

Practice Phone & Referral Fax

(567) 200-0824

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1083548259 (CANDACE BROSNECK) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1083548259` (NPI-1 Individual Practitioner)
Provider / Legal Name	CANDACE BROSNECK
Plain-English Specialty	Licensed & Credentialed Case Manager/Care Coordinator NUCC Code: `171M00000X` (Case Manager/Care Coordinator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	22897 US HIGHWAY 20A, ARCHBOLD, OH, 43502-9138
Practice Telephone / Fax	Tel: (567) 200-0824
Administrative Mailing Address	22897 US HIGHWAY 20A, ARCHBOLD, OH, 43502-9138
Enumeration & Last Sync	Enumerated: 2026-06-11 \| CMS Record Updated: 2026-06-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

22897 US HIGHWAY 20A, ARCHBOLD, OH, 43502-9138

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Plain-English Taxonomy & CMS Crosswalk (171M00000X)

What Does Taxonomy Code 171M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171M00000X translates to:
"Licensed & Credentialed Case Manager/Care Coordinator"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Manager/Care Coordinator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CANDACE BROSNECK)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171M00000X` — Case Manager/Care Coordinator Plain English: Licensed & Credentialed Case Manager/Care Coordinator	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CANDACE BROSNECK (NPI #1083548259)