SUSAN J OTTEMILLER ARNP DNP NPI 1710964200

NPI Information

NPI: 1710964200
Provider Name: SUSAN J OTTEMILLER, ARNP, DNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: ASSOCIATION OF UNIVERSITY PHYSICIANS

PECOS Registration: Yes

Address:
825 EASTLAKE AVE E
SEATTLE, WA
ZIP 98109
Phone: (206) 520-5000
Get Directions

Susan J Ottemiller, ARNP, DNP is an adult health nurse practitioner in Seattle, WA with 26 years of experience. Susan J Ottemiller, ARNP, DNP NPI is 1710964200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

825 EASTLAKE AVE E
SEATTLE, WA
ZIP 98109
Phone: (206) 520-5000

The NPI 1710964200 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

X-ray of chest, 2 views, front and side (HCPCS:71020)

The enumeration date for this NPI number is 12/27/2005 and was last updated on 12/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		AP60848345	WASHINGTON	No
2	363LA2200X	Nurse Practitioner	Adult Health	AP60848345	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CD8723	OTHER	OREGON	RR MEDICARE GROUP NUMBER
2	P00085410	OTHER	OREGON	RR MEDICARE PTAN NUMBER
3	0577260001	OTHER	OREGON	DMERC NUMBER
4	1710964200	MEDICAID	WASHINGTON
5	930635514	OTHER	OREGON	GROUP TAX ID NUMBER
6	1407812365	OTHER	OREGON	NBMC GROUP NPI NUMBER
7	161133	OTHER	OREGON	GROUP NBMC MEDICAID
8	R0000WFBTV	OTHER	OREGON	MEDICARE GROUP PIN NUMBER
9	500618060	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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