JENNY BROSI – Critical Care Medicine Nurse Practitioner, NPI 1134717762

JENNY BROSI is a healthcare provider. based in Monmouth, Oregon. specializing in NURSE PRACTITIONER. They hold a License No. 10013536 (OR). The NPI Number for JENNY BROSI is 1134717762

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNY BROSI
NPI
1134717762
Phone
(503) 606-3288
Address
180 ATWATER ST N
Enumeration Date
8 January 2021
Last Update Date
24 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
3971982315
Group Practice PAC ID
3375439862
Professional Enrollment ID
I20220615002259
Address ID
OR973653821NE36XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:5State licenses:3Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for JENNY BROSI

  • 180 ATWATER ST N

    MONMOUTH, OR 973611801

    Phone: (503) 606-3288

    Type: Mailing

  • 36 SW NYE ST

    NEWPORT, OR 973653821

    Phone: (541) 265-0445

    Fax: (844) 760-0526

    Type: Mailing

  • 3641 BROADWAY BLVD STE 200

    GARLAND, TX 750431677

    Phone:

    Type: Mailing

  • 1105 SE Jetty Ave Ste C

    Lincoln City, OR 973672604

    Phone: (541) 265-4947

    Type: Location

  • 180 Atwater St N

    Monmouth, OR 973611801

    Phone: (503) 606-3287

    Type: Location

  • 525 N Bay St

    Waldport, OR 973949010

    Phone: (541) 265-4947

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2023-05-06 • Largest payer in this snapshot: Fidia Pharma USA Inc. ($21).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-04-04

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
I20240404003655INurse PractitionerORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9475$0
80305Testing for presence of drug, read by direct observation1817$0
View full utilization report →

Insurance plans in this area (ZIP 97361)

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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: 3375439862View full group profile
NameSpecialtyState
Nurse PractitionerOR
P S Y C H I A T R YOR
-OR
Osteopathic Manipulative MedicineCA
Mental Health CounselorOR
Mental Health CounselorOR
P S Y C H I A T R YOR
Nurse PractitionerCA
-OR
Clinical Social WorkerOR

Reviews

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Frequently asked questions

Can I use this page to confirm JENNY BROSI's NPI?
Yes. JENNY BROSI is listed with NPI 1134717762 in the public NPI dataset.
Does the file indicate JENNY BROSI is practicing under active NPI?
Directory data currently reports JENNY BROSI as active.
What is JENNY BROSI best known for clinically?
Directory data describes JENNY BROSI with Critical Care Medicine Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for JENNY BROSI?
JENNY BROSI's geographic hint is Monmouth, Oregon in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.