MS. LINDA LAVERNE OTTLEY (NP) – Nurse Practitioner, NPI 1629085576
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17,004 NURSE PRACTITIONER in NY
Provider Addresses for MS. LINDA LAVERNE OTTLEY (NP)
8472 VIA SONOMA UNIT 30
LA JOLLA, CA 920372735
Phone: (760) 212-5172
Type: Mailing
632 BROADWAY PH
NEW YORK, NY 100122614
Phone: (800) 731-4254
Type: Location
Veterans Affairs San Diego Healthcare System, 3350, La Jolla Village Drive, University City, San Diego, San Diego County, California, 92161, United States
F112
SAN DIEGO, CA 921610002
Phone: (760) 212-5172
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $136.
Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.
Last reported payment date: 2024-06-17 • Largest payer in this snapshot: Shield Therapeutics Inc ($100).
Total Amount
$136
General + Research + Ownership
Payments
3
Total payment records
General Amount
$136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shield Therapeutics Inc | $100 |
| Cook Medical LLC | $20 |
| Progenics Pharmaceuticals, Inc. | $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: 2026-02-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20200418000088 | I | Nurse Practitioner | DC | TBD |
| I20200508002483 | I | Nurse Practitioner | MD | TBD |
| I20251025000591 | I | Nurse Practitioner | PA | TBD |
| I20251212001066 | I | Nurse Practitioner | WV | TBD |
| I20260114002737 | I | Nurse Practitioner | VA | TBD |
| I20260223002455 | I | Nurse Practitioner | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92037)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WV | |
| Physician Assistant | NC | |
| Nurse Practitioner | OH | |
| Critical Care (Intensivists), Pulmonary Disease, Internal Medicine | NY | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | PA | |
| Physician Assistant | TX | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | OH |
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