CASIE NICOLE BRIM (NP) – Nurse Practitioner, NPI 1003196684

CASIE NICOLE BRIM (NP) is a healthcare provider. based in Tulsa, Oklahoma. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 80718 (OK). The NPI Number for CASIE NICOLE BRIM (NP) is 1003196684

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
CASIE NICOLE BRIM (NP)
NPI
1003196684
Phone
(918) 748-7676
Address
1919 S WHEELING AVE
Enumeration Date
26 August 2011
Last Update Date
12 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
1850566548
Group Practice PAC ID
2567366495
Professional Enrollment ID
I20111207000846
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for CASIE NICOLE BRIM (NP)

  • 1919 S WHEELING AVE

    STE 606

    TULSA, OK 741045635

    Phone: (918) 748-7676

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-12-07

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
I20111207000846INurse PractitionerOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74104)

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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: 2567366495View full group profile

Reviews

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Frequently asked questions

How do payers reference CASIE NICOLE BRIM (NP)?
For CASIE NICOLE BRIM (NP), use NPI 1003196684 as the unique 10-digit identifier.
Would CASIE NICOLE BRIM (NP) appear as active to a payer?
You can treat CASIE NICOLE BRIM (NP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to CASIE NICOLE BRIM (NP)?
CASIE NICOLE BRIM (NP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CASIE NICOLE BRIM (NP) located near Tulsa?
CASIE NICOLE BRIM (NP) currently maps to Tulsa, Oklahoma in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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