MS. MAHE OTERO (APRN) – Family Nurse Practitioner, NPI 1629648514
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for MS. MAHE OTERO (APRN)
18000 STUDEBAKER RD STE 800
CERRITOS, CA 907032671
Phone: (562) 735-3226
Type: Mailing
399 E HIGHLAND AVE STE 501
SAN BERNARDINO, CA 924043879
Phone: (909) 982-4252
Type: Location
PO BOX 743144
ATLANTA, GA 303743144
Phone: (786) 596-2000
Type: Mailing
8900 N KENDALL DR
MIAMI, FL 331762118
Phone: (786) 596-2000
Fax: (305) 279-7778
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $296.
Total Amount is formed as General ($296) + Research ($0) + Ownership ($0) = $296.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Incyte Corporation ($119).
Total Amount
$296
General + Research + Ownership
Payments
10
Total payment records
General Amount
$296
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-01-12
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 |
|---|---|---|---|---|
| I20220112000493 | I | Nurse Practitioner | FL | 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 90703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| Medical Oncology | FL | |
| Physician Assistant | FL | |
| Hematology/Oncology, Internal Medicine | FL | |
| Hematology/Oncology, Internal Medicine | FL | |
| Hematology/Oncology, Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | WV | |
| Nurse Practitioner | CA |
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