Active NPI
Brooklyn Pierce Otto, PA-C
- Physician Assistant
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601011961TMP23
- Practice address
- 1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833 - Phone
- (231) 733-1326
- Fax
- (231) 733-5212
- NPI assigned
- Sep 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601011961TMP23 | MI | Primary |
Addresses
Primary practice location
1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833
Mailing address
13411 Pineview Way Apt 204
Southgate, MI 48195-3436
Other practice location 1
13411 Pineview Way Apt 204
Southgate, MI 48195-3436
Phone (858) 437-7790
Other practice location 2
1445 Sheldon Rd Ste 200
Grand Haven, MI 49417-2479
Phone (616) 296-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Western Michigan Un Homer Stryker School of Med, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Phone (231) 733-1326
Hospital & facility affiliations
- Trinity Health Muskegon Hospital
- Trinity Health Grand Haven Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601011961TMP23 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates of Muskegon, PC | Current | Accepting new patients | |
| US Rehabilitation & Health Service Inc | Past | Accepting new patients |
Locations
1445 Sheldon Rd
Ste 200
Grand Haven, MI 49417
Phone (616) 846-1860
1400 Mercy Dr
Muskegon, MI 49444
Phone (231) 733-1326
1400 Mercy Dr
Ste 100
Muskegon, MI 49444
Phone (231) 733-1326
Interoperability endpoints
- brooklyn.otto.1@29636.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Muskegon, MI
- NPI 1972566594
-
- Rehabilitation Clinic/Center
- Livonia, MI
- NPI 1194751677
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
- General Acute Care Hospital
- Grand Haven, MI
- NPI 1942379284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1093591190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13411 PINEVIEW WAY APT 204",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481953436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MERCY DR STE 100",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441833",
"telephone_number": "231-733-1326",
"fax_number": "231-733-5212"
}
],
"practiceLocations": [
{
"address_1": "13411 Pineview Way Apt 204",
"address_purpose": "LOCATION",
"city": "Southgate",
"state": "MI",
"postal_code": "481953436",
"country_code": "US",
"telephone_number": "858-437-7790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1445 Sheldon Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Grand Haven",
"state": "MI",
"postal_code": "494172479",
"country_code": "US",
"telephone_number": "616-296-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTTO",
"first_name": "BROOKLYN",
"middle_name": "PIERCE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-05",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601011961TMP23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.