MS. LINDA LAVERNE OTTLEY NP
NPI 1629085576
Nurse Practitioner - Family in New York, NY
About Ms. Linda Laverne Ottley Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LINDA LAVERNE OTTLEY NP (NPI 1629085576) is an individual family provider in New York, New York, licensed in California (8832) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Linda Laverne Ottley Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Linda Ottley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blue Ash, OH 45242
- Reassigned Medicare billing, Indiana, Kentucky, Maryland, Ohio, Pennsylvania, Virginia and West Virginia enrollments
- 52 clinicians in this Medicare group
Orlando, FL 32811
- Reassigned Medicare billing, California enrollment
- 2 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 10012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Linda Ottley's NPI number?
The NPI number for Linda Ottley is 1629085576. It was assigned to this individual provider in the NPPES registry on August 2, 2006. The provider is also known as Linda Laverne Rustin Np.
Where is Linda Ottley located?
Linda Ottley practices at 632 Broadway Ph, New York, NY 10012. The listed phone number is (800) 731-4254.
What is Linda Ottley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Linda Ottley enrolled in Medicare?
Yes. Linda Ottley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Linda Ottley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Linda Ottley reassigns Medicare benefits to 2 organizations: Post Acute Telehealth PC (Blue Ash, OH) and Psynergy Health Med PLLC (Orlando, FL). 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 Linda Ottley'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 Linda Ottley was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ms. Linda Laverne Ottley, NP · NPI 1629085576
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1629085576 (Entity type: Individual)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 8832 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 632 BROADWAY PH, New York, NY 10012-2614
- **Phone:** (800) 731-4254
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Post Acute Telehealth PC (NPI 1164011185, Blue Ash, OH); Psynergy Health Med PLLC (NPI 1891513420, Orlando, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629085576) · Data from the CMS NPPES public registry.