Brooke Ostberg, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

110969 Issued in OK

Practice address

201 E 2ND St
Skiatook, OK 74070-1211

Phone

(918) 396-1262

NPI assigned

Feb 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sdo Group LLC 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bailey Medical Center, LLC Hospital, Owasso, OK, CCN 370228

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brooke.ostberg@385782215999492.direct.elationemr.com

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.

• Sdo Group LLC

  • Rural Health Clinic/Center
  • Skiatook, OK
  • NPI 1811366032

  OK

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bailey Medical Center, LLC

  • General Acute Care Hospital
  • Owasso, OK
  • NPI 1205846037

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1982160248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E BEAVER ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374314",
            "telephone_number": "918-240-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 2ND ST",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740701211",
            "telephone_number": "918-396-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTBERG",
        "first_name": "BROOKE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "110969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Nicole McNeely, PHARMD
• Micah Douglass Nix, D.O.
• Patricia Ann Nowick, RPT
• Ok Compounding
• Ok Compounding LLC
• Lacey Pappan, PT, DPT
• Jaime Anne Parrish, DDS
• Peyton Leigh Patrick, CSFA
• Deborah Kay Pattillo, MS
• India Pillers

• All providers in Skiatook, OK
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.

Verify at the official NPI Registry.