BRETT EVERETT EKSTROM (FNP-C) – Primary Care Nurse Practitioner, NPI 1104335900

BRETT EVERETT EKSTROM (FNP-C) is a healthcare provider. based in Marlborough, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN2280502 (MA). The NPI Number for BRETT EVERETT EKSTROM (FNP-C) is 1104335900

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
BRETT EVERETT EKSTROM (FNP-C)
NPI
1104335900
Phone
(508) 460-3872
Address
246 MAPLE ST
Enumeration Date
25 September 2017
Last Update Date
27 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084603872
Graduation Year
2017 (9 years ago)
PAC ID
9133488000
Group Practice PAC ID
3476630450
Professional Enrollment ID
I20180123000529
Address ID
MA017523235MA246XXSTXX300
Telehealth
Yes

Contacts

Secure Messaging
Ekstrom.Brett.CRM@direct.partners.masshiway.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

8,972 NURSE PRACTITIONER in MA

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Provider Addresses for BRETT EVERETT EKSTROM (FNP-C)

  • 246, Maple Street, Marlborough Junction, Marlborough, Middlesex County, Massachusetts, 01752-3260, United States

    MARLBOROUGH, MA 01752

    Phone: (508) 460-3872

    Type: Location

  • 171 MAIN ST STE 203B

    ASHLAND, MA 017211187

    Phone: (508) 881-3029

    Fax: (508) 881-1752

    Type: Mailing

  • 1 CABOT RD STE 101

    HUDSON, MA 017492963

    Phone: (785) 623-5369

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $621.

Total Amount is formed as General ($621) + Research ($0) + Ownership ($0) = $621.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: HeartFlow, Inc. ($217).

Total Amount

$621

General + Research + Ownership

Payments

22

Total payment records

General Amount

$621

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2018-01-23

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
I20180123000529INurse PractitionerMATBD

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
36415Insertion of needle into vein for collection of blood sample1312$0
View full utilization report →

Insurance plans in this area (ZIP 01752)

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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: 3476630450View full group profile
NameSpecialtyState
Physician AssistantMA
Internal MedicineMA
Internal MedicineMA
-MA
Family PracticeMA
-MA
Internal MedicineMA
Internal MedicineMA
Nurse PractitionerMA
Internal Medicine, EndocrinologyMA

Reviews

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Frequently asked questions

Can I use this page to confirm BRETT EVERETT EKSTROM (FNP-C)'s NPI?
Yes. BRETT EVERETT EKSTROM (FNP-C) is listed with NPI 1104335900 in the public NPI dataset.
Is BRETT EVERETT EKSTROM (FNP-C) listed as active for patients and plans?
The listing shows BRETT EVERETT EKSTROM (FNP-C) as active in the NPI system.
What taxonomy line describes BRETT EVERETT EKSTROM (FNP-C)?
For research purposes, treat BRETT EVERETT EKSTROM (FNP-C) as Primary Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does BRETT EVERETT EKSTROM (FNP-C) list a practice location?
Patients near Marlborough, Massachusetts may find BRETT EVERETT EKSTROM (FNP-C) in results; validate coverage separately.
Is the information about BRETT EVERETT EKSTROM (FNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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