JOLINE BROTZMAN (MS, RN, PMHCNS-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1578813606
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for JOLINE BROTZMAN (MS, RN, PMHCNS-BC)
298 E 1st St
Fond Du Lac, WI 549354357
Phone: (920) 315-3922
Fax: (920) 214-1076
Type: Location
700 PARK RIDGE LN
NORTH FOND DU LAC, WI 549371385
Phone: (920) 926-7800
Type: Mailing
298 E 1ST ST
FOND DU LAC, WI 549354357
Phone: (920) 315-3922
Fax: (920) 214-1076
Type: Mailing
459 E 1ST ST
FOND DU LAC, WI 549354505
Phone: (920) 922-3324
Fax: (920) 929-3129
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $814.
Total Amount is formed as General ($814) + Research ($0) + Ownership ($0) = $814.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($244).
Total Amount
$814
General + Research + Ownership
Payments
48
Total payment records
General Amount
$814
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $244 |
| Alkermes, Inc. | $224 |
| Otsuka America Pharmaceutical, Inc. | $95 |
| Lundbeck LLC | $54 |
| Teva Pharmaceuticals USA, Inc. | $47 |
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: 2012-11-16
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 |
|---|---|---|---|---|
| I20121116000243 | I | Nurse Practitioner | WI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 191 | 71 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 18 | 12 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 17 | 17 | $0 |
Insurance plans in this area (ZIP 54935)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | WI | |
| Mental Health Counselor | WI | |
| - | CA | |
| P S Y C H I A T R Y | NY | |
| Mental Health Counselor | WI | |
| - | WI | |
| Mental Health Counselor | WI | |
| Nurse Practitioner | WI | |
| P S Y C H I A T R Y | WI | |
| Clinical Psychologist | WI |
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