BRENNA NICOLE EASTMAN EWING (PA-C) – Physician Assistant, NPI 1316676539
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for BRENNA NICOLE EASTMAN EWING (PA-C)
2610 S BLACK OAK DR
STILLWATER, OK 740742263
Phone: (913) 708-2884
Type: Mailing
153 W 151ST ST STE 100
OLATHE, KS 660615300
Phone: (913) 764-1125
Fax: (913) 764-1186
Type: Mailing
151 W 151ST ST
OLATHE, KS 660615305
Phone: (913) 764-1125
Fax: (913) 764-1186
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $431.
Total Amount is formed as General ($431) + Research ($0) + Ownership ($0) = $431.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($219).
Total Amount
$431
General + Research + Ownership
Payments
15
Total payment records
General Amount
$431
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $219 |
| SANOFI-AVENTIS U.S. LLC | $100 |
| Organon LLC | $32 |
| UCB, Inc. | $26 |
| Incyte Corporation | $23 |
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: 2023-10-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231023001948 | I | Physician Assistant | KS | 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 74074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KS | |
| D E R M A T O L O G Y | KS | |
| - | KS | |
| D E R M A T O L O G Y | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | OR | |
| D E R M A T O L O G Y | KS | |
| D E R M A T O L O G Y | KS |
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