NPIMap

Individual provider Active NPI

Robert Otto, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lenexa, KS
National Provider Identifier
1033585609
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5376922052 Issued in KS
Practice address
7721 Quivira Rd
Lenexa, KS 66216-3401
Phone
(913) 706-2508
Fax
(913) 248-2808
NPI assigned
Aug 18, 2015
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2015025674 MO
Family Nurse Practitioner 363LF0000X 5376922052 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019047655 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5376922052 KS Primary

Addresses

Primary practice location

7721 Quivira Rd
Lenexa, KS 66216-3401

Mailing address

7721 Quivira Rd
Lenexa, KS 66216-3401
Phone (316) 871-8881

Other practice location 1

1000 Carondelet Dr
Senior Behavioral Health Dept
Kansas City, MO 64114
Phone (816) 943-5800

Other practice location 2

962 S Clearwater Creek Dr
Olathe, KS 66061-5260
Phone (316) 871-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151116000570 KS Practitioner - Nurse Practitioner 1254649627 Reassigns benefits to 3 organizations
I20250710003085 NM Practitioner - Nurse Practitioner 1254649627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mokscare Family MedicineGroup PAC ID 2961871108, 12 clinicians

Practice addresses (Care Compare)

1438 Girard Blvd NE
Albuquerque, NM 87106-1821
Phone (505) 308-8150

7450 Quivira Rd
Shawnee, KS 66216-3526
Phone (913) 706-2508

7721 Quivira Rd
Lenexa, KS 66216-3401
Phone (913) 706-2508

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.74 of 100Reported as group
Quality
91.53
Improvement activities
40
Cost
73.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5376922052KSMDFamily Nurse Practitioner
2019047655MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KC Geriatrics LLC CurrentSince Dec 6, 2020 Accepting new patients
Mokscare Family Medicine LLC Family Current Accepting new patients
Psychiatric Management Services CurrentSince Jun 1, 2021 Accepting new patients
Complete Coverage LLC Past Accepting new patients
Infusion Express of Kansas LLC PastSince May 2, 2018 Accepting new patients

Locations

7721 Quivira Rd
Shawnee, KS 66216
Phone (913) 248-2838

7450 Quivira Rd
Shawnee Mission, KS 66216
Phone (913) 248-8880

1438 Girard Blvd NE
Albuquerque, NM 87106
Phone (505) 308-8150

Interoperability endpoints

  • Direct secure messaging: robert.otto.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: robert.otto.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1033585609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 QUIVIRA RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662163401",
            "telephone_number": "316-871-8881",
            "fax_number": "913-248-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 QUIVIRA RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662163401",
            "telephone_number": "913-706-2508",
            "fax_number": "913-248-2808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Carondelet Dr",
            "address_2": "Senior Behavioral Health Dept",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64114",
            "country_code": "US",
            "telephone_number": "816-943-5800",
            "fax_number": "816-943-4849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "962 S Clearwater Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660615260",
            "country_code": "US",
            "telephone_number": "316-871-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTO",
        "first_name": "ROBERT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2023-08-03",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015025674",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5376922052",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019047655",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "5376922052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.