BROOKE LIN OTTESEN APRN
NPI 1063762946
Nurse Practitioner in Overland Park, KS
About Brooke Lin Ottesen Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKE LIN OTTESEN APRN (NPI 1063762946) is an individual nurse practitioner in Overland Park, Kansas, licensed in Kansas (5375758051) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Paola.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brooke Lin Ottesen Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Brooke Ottesen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Overland Park, KS 66211
- Reassigned Medicare billing, Kansas and Missouri enrollments
- 13 clinicians in this Medicare group
Ferguson, MO 63135
- Reassigned Medicare billing, Kansas enrollment
- Medicare enrollment name: Archwell Health Professional Services Of Kansas PA
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 66212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brooke Ottesen's NPI number?
The NPI number for Brooke Ottesen is 1063762946. It was assigned to this individual provider in the NPPES registry on September 18, 2012.
Where is Brooke Ottesen located?
Brooke Ottesen practices at 9840 W 87th St, Overland Park, KS 66212. The listed phone number is (913) 224-2112.
What is Brooke Ottesen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Brooke Ottesen enrolled in Medicare?
Yes. Brooke Ottesen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Brooke Ottesen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Ottesen reassigns Medicare benefits to 2 organizations: Optum Medical Group PA (Overland Park, KS) and Archwell Health Professional Services Of Kansas, P.A. (Ferguson, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brooke Ottesen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brooke Ottesen was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.