BROOKLYN PIERCE OTTO PA-C
NPI 1093591190
Physician Assistant in Muskegon, MI

Q: What is Brooklyn Otto's NPI number?

The NPI number for Brooklyn Otto is 1093591190. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Q: What is Brooklyn Otto's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brooklyn Otto was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 05, 2023PECOS EnrolledAccepts Medicare Assignment

1400 MERCY DR STE 100, MUSKEGON, MI 49444(231) 733-1326(231) 733-5212 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2025, Sep 5, 2023 (2 updates tracked since 2023).

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About Brooklyn Pierce Otto Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKLYN PIERCE OTTO PA-C (NPI 1093591190) is an individual physician assistant in Muskegon, Michigan, licensed in Michigan (5601011961TMP23) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093591190

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBROOKLYN PIERCE OTTOCredential: PA-C

Location Address1400 MERCY DR STE 100Muskegon, MI 49444-1833

Mailing Address13411 Pineview Way Apt 204Southgate, MI 48195-3436

Phone(231) 733-1326

Fax(231) 733-5212

Sole ProprietorNo

Medical School CMSWestern Michigan Un Homer Stryker School Of MedGraduated 2023

Enumeration DateSeptember 5, 2023

Last NPPES UpdateMay 23, 20252 updates tracked since enumeration

NPPES CertifiedMay 23, 2025

✔ NPI 1093591190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601011961TMP23

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1400 MERCY DR STE 100, Muskegon, MI 49444

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Secondary Practice Locations 2

Location 113411 Pineview Way Apt 204Southgate, MI 48195-3436 · Phone (858) 437-7790

Location 21445 Sheldon Rd Ste 200Grand Haven, MI 49417-2479 · Phone (616) 296-9100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brooklyn Pierce Otto Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224484985

PECOS Enrollment IDI20231101001083

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230066

Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County

Emergency services Birthing friendly

Trinity Health Grand Haven Hospital

Acute Care Hospitals · Grand Haven, MI

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number230174

Location1309 Sheldon RdGrand Haven, MI 49417 · Ottawa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE MARIE ROESLER L/ATC

Specialist/Technologist (Athletic Trainer)