Brooke Boettler
NPI 1205640539ActiveIndividual· Nurse Practitioner, Pediatrics· Oklahoma City, OK
Nurse Practitioner, Pediatrics in Oklahoma City, Oklahoma, licensed in OK, with an NPI issued in February 2025. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1205640539 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 6, 2025 |
| Last updated in NPPES | Feb 6, 2025 |
| Certified by provider | Feb 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 221938 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OK) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 50 pediatric nurse practitioners in Oklahoma City · All pediatric nurse practitioners in Oklahoma