MALLORY KENDAL OTTO-BROWN (CNM) – Advanced Practice Midwife, NPI 1063186146
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
235 CERTIFIED NURSE MIDWIFE (CNM) in CO
Provider Addresses for MALLORY KENDAL OTTO-BROWN (CNM)
12303 AIRPORT WAY STE 140
BROOMFIELD, CO 800212728
Phone:
Type: Mailing
4545 E 9TH AVE STE 502
DENVER, CO 802203910
Phone: (303) 320-2944
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $596.
Total Amount is formed as General ($596) + Research ($0) + Ownership ($0) = $596.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($128).
Total Amount
$596
General + Research + Ownership
Payments
25
Total payment records
General Amount
$596
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $128 |
| MAYNE PHARMA COMMERCIAL LLC | $92 |
| Organon LLC | $85 |
| Exeltis, USA Inc. | $82 |
| Astellas Pharma US Inc | $75 |
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: 2021-10-19
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 |
|---|---|---|---|---|
| I20211019001925 | I | Certified Nurse Midwife (Cnm) | CO | 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 80021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| Nurse Practitioner | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO |
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