TYLER ANN BROCKHOFF (FNP-C) – Family Nurse Practitioner, NPI 1003347147
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TYLER ANN BROCKHOFF (FNP-C)
13635, North 37th Place, Mayflower Terrace, Phoenix, Maricopa County, Arizona, 85032, United States
PHOENIX, AZ 850326201
Phone: (623) 224-3618
Type: Mailing
East Thomas Road, Country Club Trailer Grove, Phoenix, Maricopa County, Arizona, 85018-7608, United States
PHOENIX, AZ 850168220
Phone: (602) 957-2507
Type: Location
1710 N 16TH ST STE F1
PHOENIX, AZ 850061903
Phone: (623) 224-3618
Fax: (623) 244-1595
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $344.
Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($144).
Total Amount
$344
General + Research + Ownership
Payments
4
Total payment records
General Amount
$344
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| REVANCE THERAPEUTICS, INC. | $144 |
| ABBVIE INC. | $108 |
| Merz North America, Inc. | $77 |
| Galderma Laboratories, L.P. | $16 |
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: 2017-04-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170421000681 | I | Nurse Practitioner | AZ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97610 | Therapy procedure using ultrasound | 103 | 14 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 48 | 21 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 42 | 22 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 24 | 15 | $0 |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 85032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| P S Y C H I A T R Y | AZ | |
| Nurse Practitioner | AZ |
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