MS. LINDA LAVERNE OTTLEY NP
NPI 1629085576
Nurse Practitioner - Family in New York, NY

Q: 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.

Q: What is Linda Ottley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Linda Ottley was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment

632 BROADWAY PH, NEW YORK, NY 10012(800) 731-4254 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2024, Jun 10, 2022 (2 updates tracked since 2022).

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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

NPI1629085576

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. LINDA LAVERNE OTTLEYCredential: NP

Location Address632 BROADWAY PHNew York, NY 10012-2614

Mailing Address8472 Via Sonoma Unit 30La Jolla, CA 92037-2735 · (760) 212-5172

Phone(800) 731-4254

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 2, 2006

Last NPPES UpdateOctober 20, 20252 updates tracked since enumeration

NPPES CertifiedOctober 20, 2025

✔ NPI 1629085576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in CA · 8832✔ Licensed in FL · APRN11022481✔ Licensed in PA · SP033398✔ Licensed in MD · R088414✔ Licensed in GA · RN286333

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP104217 (TX), 5647 (MN), 14443 (CT), R0132242 (OK), RN2310658 (MA), 879334 (NV)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 8832 (CA)

632 BROADWAY PH, New York, NY 10012

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Other Names 1

Former Name (1)Linda Laverne Rustin Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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

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.

PECOS PAC ID1658337183

PECOS Enrollment IDI20200508002483, I20251025000591, I20251212001066, I20260114002737, I20260223002455, I20260406000515

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.

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.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

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.

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