Individual provider Active NPI

Rebecca Anne Otten, M.D.

  • Emergency Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1013355353
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301102621 Issued in MI
Practice address
1500 E. Medical Center Drive
B1-380 TC
Ann Arbor, MI 48109-5305
Phone
(734) 763-7919
Fax
(734) 763-9298
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301102621 MI Primary

Addresses

Primary practice location

1500 E. Medical Center Drive
B1-380 TC
Ann Arbor, MI 48109-5305

Mailing address

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 763-7919

Other practice location 1

302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 876-2644

Other practice location 2

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7777

Other practice location 3

416 Connable Ave
Petoskey, MI 49770-2212
Phone (800) 248-6777

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906000417 MI Practitioner - Emergency Medicine 6305168451 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Michigan Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interlochen Emergency Group PCGroup PAC ID 3577918606, 49 clinicians
Caberfae Emergency Group PCGroup PAC ID 4082069232, 39 clinicians
Ecs Northern Michigan PCGroup PAC ID 3173892627, 24 clinicians
Hawk Emergency Group, P.C.Group PAC ID 6800241050, 55 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

416 Connable Ave
Petoskey, MI 49770-2212
Phone (800) 248-6777

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058
  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133
  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Charlevoix Area Hospital Hospital, Charlevoix, MI, CCN 231322
  • Paul Oliver Memorial Hospital Hospital, Frankfort, MI, CCN 231300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301102621MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawk Emergency Group, P.C. Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Northwestern Michigan Emergency Physicians PC Emergency Medicine CurrentSince Feb 24, 2021 Accepting new patients
Interlochen Emergency Group, P.C. Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Munson Healthcare Cadillac Current Accepting new patients
Chelsea Community Hospital CurrentSince Feb 5, 2020 Accepting new patients
Caberfae Emergency Group, P.C. Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Munson Healthcare Cadillac CurrentSince Feb 3, 2020 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince Jul 29, 2016 Accepting new patients
Munson Healthcare Cadillac CurrentSince Feb 3, 2020 Accepting new patients
Chelsea Community Hospital Current Accepting new patients
Ecs Northern Michigan PC Emergency Medicine CurrentSince Aug 8, 2023 Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

3782 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

302 Hobart St
Cadillac, MI 49601
Phone (231) 876-2644

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

748 S Main St
Cheboygan, MI 49721
Phone (231) 627-5601

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1013355353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000",
            "telephone_number": "734-763-7919",
            "fax_number": "734-763-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E. MEDICAL CENTER DRIVE",
            "address_2": "B1-380 TC",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095305",
            "telephone_number": "734-763-7919",
            "fax_number": "734-763-9298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Hobart St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496012379",
            "country_code": "US",
            "telephone_number": "231-876-2644",
            "fax_number": "231-876-5106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7777",
            "fax_number": "231-258-7786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 Connable Ave",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702212",
            "country_code": "US",
            "telephone_number": "800-248-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTEN",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301102621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.