Individual provider Active NPI

Brooke Chauvin Otremba, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1043998156
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
231543 Issued in LA
Practice address
5131 Odonovan Dr Ste 300
Baton Rouge, LA 70808-4792
Phone
(225) 374-0400
Fax
(225) 374-0430
NPI assigned
Jul 10, 2023
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 231543 LA Primary

Addresses

Primary practice location

5131 Odonovan Dr Ste 300
Baton Rouge, LA 70808-4792

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 374-0400

Other practice location 1

6450 La Highway 1
Batchelor, LA 70715-3212
Phone (225) 492-3775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250516001253 LA Practitioner - Nurse Practitioner 4385096726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5131 Odonovan Dr
Suite 300
Baton Rouge, LA 70808-4782
Phone (225) 765-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Current Accepting new patients
Innis Community Health Center, Inc CurrentSince Nov 1, 2023 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Mar 9, 2025 Accepting new patients
Innis Community Health Center, Inc CurrentSince Nov 1, 2023 Accepting new patients
Innis Community Health Center, Inc Past Accepting new patients

Locations

6450 LA Highway 1
Batchelor, LA 70715
Phone (225) 618-5015

5131 Odonovan Dr
Ste 300
Baton Rouge, LA 70808
Phone (225) 374-0400

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

230 Roberts Dr
Ste H
New Roads, LA 70760
Phone (225) 618-7800

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1043998156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-374-0400",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 ODONOVAN DR STE 300",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084792",
            "telephone_number": "225-374-0400",
            "fax_number": "225-374-0430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6450 La Highway 1",
            "address_purpose": "LOCATION",
            "city": "Batchelor",
            "state": "LA",
            "postal_code": "707153212",
            "country_code": "US",
            "telephone_number": "225-492-3775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTREMBA",
        "first_name": "BROOKE",
        "middle_name": "CHAUVIN",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "231543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.