BROOKE LIN OTTESEN (APRN) – Nurse Practitioner, NPI 1063762946
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BROOKE LIN OTTESEN (APRN)
102 WOODMONT BLVD STE 600
NASHVILLE, TN 372055250
Phone: (888) 987-1151
Type: Mailing
9840 W 87TH ST
OVERLAND PARK, KS 662124564
Phone: (913) 224-2112
Fax: (913) 392-9703
Type: Location
2102 Baptiste Dr
Paola, KS 660711314
Phone: (913) 557-5678
Fax: (913) 557-5681
Type: Location
2102 BAPTISTE DR
PAOLA, KS 660711314
Phone: (913) 557-5678
Fax: (913) 557-5681
Type: Mailing
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 $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2023-08-01 • Largest payer in this snapshot: ABBVIE INC. ($88).
Total Amount
$88
General + Research + Ownership
Payments
5
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $88 |
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: 2023-02-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20121112000483 | I | Nurse Practitioner | KS | TBD |
| I20230217002020 | I | Nurse Practitioner | MO | 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 37205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| - | KS | |
| - | KS | |
| - | KS | |
| - | KS | |
| - | KS | |
| - | KS | |
| - | KS | |
| - | MO | |
| - | KS |
Reviews
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