PENELOPE OSTARLY – Family Nurse Practitioner, NPI 1184204216

PENELOPE OSTARLY is a healthcare provider. based in Merritt island, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11012631 (FL). The NPI Number for PENELOPE OSTARLY is 1184204216

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
PENELOPE OSTARLY
NPI
1184204216
Phone
(321) 507-5244
Address
1040 GRANADA AVE
Enumeration Date
13 April 2021
Last Update Date
13 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217848211
Graduation Year
2021 (5 years ago)
PAC ID
1557749231
Group Practice PAC ID
6002715158
Professional Enrollment ID
I20220608002533
Address ID
FL329071113PA490XXNEDR401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for PENELOPE OSTARLY

  • 1040 GRANADA AVE

    MERRITT ISLAND, FL 329525038

    Phone: (321) 507-5244

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 84 Open Payments records for all available years, with a total value of $3,095.

Total Amount is formed as General ($3,095) + Research ($0) + Ownership ($0) = $3,095.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boston Scientific Corporation ($1,316).

Total Amount

$3,095

General + Research + Ownership

Payments

84

Total payment records

General Amount

$3,095

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220608002533INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes813402$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7715$0
80307Testing for presence of drug, by chemistry analyzers2727$0
View full utilization report →

Insurance plans in this area (ZIP 32952)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002715158View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
-FL
-FL
Nurse PractitionerFL
-FL
Physician AssistantFL
Interventional Pain Management, AnesthesiologyFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for PENELOPE OSTARLY?
PENELOPE OSTARLY — NPI 1184204216 — is the standard way to identify this listing.
Does the file indicate PENELOPE OSTARLY is practicing under active NPI?
Directory data currently reports PENELOPE OSTARLY as active.
What is PENELOPE OSTARLY's primary classification?
Family Nurse Practitioner is the headline specialty for PENELOPE OSTARLY here. Clinical services aligned with this taxonomy classification.
What address line appears for PENELOPE OSTARLY?
PENELOPE OSTARLY's geographic hint is Merritt Island, Florida in our summary view.
Why does PENELOPE OSTARLY have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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