BRANDY TOLLIVER (APN) – Adult Health Nurse Practitioner, NPI 1306370432
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for BRANDY TOLLIVER (APN)
875 Oak St SE
Salem, OR 973013975
Phone: (503) 814-1172
Type: Location
663 BUTTONWOOD RD
XENIA, IL 628992237
Phone: (541) 390-3858
Type: Mailing
PO BOX 13129
SALEM, OR 973091129
Phone: (503) 814-1472
Type: Mailing
3810 PACIFIC BLVD SW
ALBANY, OR 973217752
Phone: (541) 936-7549
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($53).
Total Amount
$124
General + Research + Ownership
Payments
5
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $53 |
| Solventum Corporation | $47 |
| MIMEDX Group, Inc. | $24 |
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: 2018-08-01
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 |
|---|---|---|---|---|
| I20180801003416 | I | Nurse Practitioner | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 405 | 65 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 150 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 34 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 55 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 26 | $0 |
Insurance plans in this area (ZIP 97301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| U R O L O G Y | OR | |
| Physician Assistant | OR | |
| A N E S T H E S I O L O G Y | WA | |
| A N E S T H E S I O L O G Y | MT | |
| Family Practice | OR | |
| Plastic And Reconstructive Surgery | OR | |
| Nurse Practitioner | OR | |
| A N E S T H E S I O L O G Y | WA | |
| - | OR |
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