Individual provider Active NPI

Rebecca Otto, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1063271146
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
856710 Issued in NV
Practice address
1021 Steamboat Pkwy Ste 120
Reno, NV 89521-6432
Phone
(775) 352-5300
Fax
(775) 683-6789
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 856710 NV Primary

Addresses

Primary practice location

1021 Steamboat Pkwy Ste 120
Reno, NV 89521-6432

Mailing address

1021 Steamboat Pkwy
Ste. 120
Sparks, NV 89434-1518
Phone (775) 352-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240802001930 NV Practitioner - Nurse Practitioner 5890232284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Nevada Medical Group LLCGroup PAC ID 7214093020, 83 clinicians

Practice addresses (Care Compare)

1020 New River Pkwy
Suite 200
Fallon, NV 89406-7801
Phone (775) 428-2633

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nevada Medical Group, LLC CurrentSince Jul 8, 2024 Accepting new patients

Locations

1020 New River Pkwy
Ste 200
Fallon, NV 89406
Phone (775) 428-2150

1021 Steamboat Pkwy
Reno, NV 89521
Phone (775) 525-9151

1021 Steamboat Pkwy
Ste 120
Reno, NV 89521
Phone (775) 525-9151

2385 E Prater Way
Ste 205
Sparks, NV 89434
Phone (775) 356-4888

Organizations & group practices 1

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 9

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1063271146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 STEAMBOAT PKWY",
            "address_2": "STE. 120",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894341518",
            "telephone_number": "775-352-5300",
            "fax_number": "775-683-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 STEAMBOAT PKWY STE 120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216432",
            "telephone_number": "775-352-5300",
            "fax_number": "775-683-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "REBECCA",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "856710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.