Individual provider Active NPI

Bridget Andrea Otto

  • Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1043023765
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
135233 Issued in IA
Practice address
202 10TH St SE Ste 225
Cedar Rapids, IA 52403-2419
Phone
(319) 364-7101
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 135233 IA Primary

Addresses

Primary practice location

202 10TH St SE Ste 225
Cedar Rapids, IA 52403-2419

Mailing address

202 10TH St SE Ste 225
Cedar Rapids, IA 52403-2419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20250318000381 IA Practitioner - Nurse Practitioner 9638691843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Methodist HospitalGroup PAC ID 6608786751, 82 clinicians

Practice addresses (Care Compare)

202 10TH St SE
Suite 225
Cedar Rapids, IA 52403-2419
Phone (319) 368-5757

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045
  • Buchanan County Health Center Hospital, Independence, IA, CCN 161335
  • Regional Medical Center Hospital, Manchester, IA, CCN 161343
  • Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079
  • Jones Regional Medical Center Hospital, Anamosa, IA, CCN 161306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135233IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Methodist Hospital Nurse Practitioner CurrentSince Apr 21, 2025 Accepting new patients
St Luke'S Methodist Hospital CurrentSince Apr 21, 2025 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

202 10th St SE
Ste 225
Cedar Rapids, IA 52403
Phone (319) 364-7101

709 W Main St
Ste 100
Manchester, IA 52057
Phone (563) 927-2855

Interoperability endpoints

  • Direct secure messaging: botto1180892@direct.unitypoint.org

Organizations & group practices 3

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": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1043023765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE STE 225",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE STE 225",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032419",
            "telephone_number": "319-364-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "BRIDGET",
        "middle_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "135233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.