Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooke Boettler

Individual provider Pediatric Nurse Practitioner · NPI 1205640539

Brooke Boettler is a Nurse Practitioner in Oklahoma City, Oklahoma. Qualified in 2021, 5 years ago. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2025

Practice location Address checks out

1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone: (405) 271-4357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 221938 (OK)

Record details

NPI number1205640539
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2025
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 4, 2025
Mailing address12641 Heritage Oaks Dr, Oklahoma City, OK 73120-2092

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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